Homestead_Miller (8) •
• STATE FORM 5350 (Pi/S-10) TRFASUD"FORM TS-IA
. • ' • APSES/STD BY STATE BOARD Or ACCOUNTS.MO/ FRESCRIBID BY TID:OFP.ARTMET OF LOCAL OMTAY MEW FLNA4C1 IC 6-1.1-224.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and named couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confdentialand can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Location Address
Miller, David S/Whitney S Nr
908 S STORMONT
. PRINCETON IN 47670
1301 •
David S Miller IIIIIIIIII_DIII XllhI III III II�DIIIDIIII�I11011111 II_III II I_ III II��II�II�I0111IDIIII
908 S Stormont - •
PRINCETON IN 47670-2735
LnIltllll'IIIIIIII"II"II'III'IIIIIIIIII'I"'I'IIIIIIIIIIIIIiI State Parcel Number Legal Description
26-12-18-202-000.578-02y SS ADD 348
•
This form MUST be returned to County Auditor's office. -
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2: TAXPAYER INFORMATION
r I First Middle Last
� �u r d Scv 7/4 i / ter •
Mailing Address(number and street,city,state,and ZIP code) q Same as property address.
/OES,S 7Z,///'tort 1—" 54-- `� r l r1Ce,-t-on 7T .ti aft et 4/-7 Cv1O
- ., _
Spouse First Middle - Last
IA) kI N co ;e i'V1.( ( ( ?r
Meiling Address lNumber en eet;city;state,andZIP cede).._. _ - —;�-...... ,me as propertyuddress' ,--^--•-----_— - -
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties. ,
Owner I Signature Date
t�Dl.a�> SALES D(SCLOSURE FORAI SDF ID z6-2�09-1000233 �� Pa�e ?
).PREP4RER;� -, .-� : 1 ::, ;': - _: - .�";T -.
.. , . . ,..,
: . _..
' � 4 ..� � � - - T' •
J. ROBERT KINKLE HALL, PARTENHEIMER 8 KINKLE ATTORNEY �
urn u% �ht Sa(ps Dist(ut+vr Fnrru Tide
__ N. HART ST., P.O. BOX 13 ,. HALL, PARTENHEIMER 8 KINKLE
ddArerc l.�iunher anJSlrteN Contpanv
PRINCETON, IN 47670 (
E-neii!
R(s>�GR.a�TOR(s) . � - . .
R�CHARD W. SMITH MONICA J. SMITH
Se!Irr .\'�m�e a.v aJ>ptucc nn com'rJ��mrc d�umrnr .&llrr -:\'ume as nyfrars wi ean'�nonre d�mmrnl
12860 S. SUNSET DRIVE 12860 S. SUNSET DR.
ddJrr.. s I.>ynrrher und Sv, en Ad�Gr.e' bV�nuber and Smeru
HAUBSTADT, IN 47639 HAUBSTADT, IN 47639
Cirr. ST✓;r. nnd Z/P Cnd: Crnt Smre. und7/P Code
(872)000-0000 (872)000-0000
Rlrphw:r \Simbrr `�'(` E-muif T��(ephnne:\Sunlrr f.-m�u(
Jnder penalties uf perjun�, I hereby certif�� [hat this Sales Disdosure. to tbe best of m�� kno��-Iedge and bclief, is Iruc, correct and
�omplete as requircd b�� ��', and is prepared in accordance ���ith IC 6-I.A-S.i, Real Properh• Sales Disclosure Act".
��G �`� �i �- (�
-�-r:r� {��'� . �5 r� r�l `���i �( CLl ��
S� unu'e ��(Se(ler S �noNrd u! Se//rr
�2� c � :�.-i4, 5�..,.:-rL �-,� - �c� �%��C1 `s,'1'1•, _�-1__
Pri�rred A4ru:: n! �l/rr Sien Datr / L/.LCDD-Y}')'Y/ Print�¢l:\'umr of ellrr Sien D«te l.11.V�OD.�}'Y3�3%
F. /GRA\TEE - APPLICATIO\ FOR D UC'PIO\S A\D CREDITS - IDE\TIFI' ALL ITE�'IS THAT APPLI' '
D S. MILLER WHITNEY N. MILLER
,r: r-\'amc as apprnrs ou ronreRnncr dM�imre�u Burer -,\'nuie �u oppr��r.v on cnnc<��ar,cr da'an:erst
r0715 STATE RD. 738 10715 STATE RD. 738
. ,,. . .Iddrecs p�imebrr and SnerU �
SLAUGHTERS, KY 42456 SLAUGHTERS, KY 42456
(270)635-1822
Telrpl�one,\'un:brr . E-mnil Trkphone:\`umbe.r F.-mail
FORDI �L�
r 1. \Vill this property be the buyzr's prim�ry residence'. Pr
complzte address of primary residencr, includine county:
908 S. STORMONT STREET
3dJre.s r,�4nn5ei' and Strpet)
PRINCETON, IN 47670 Gibson
Cint .G�ue. nnJ7IP CoAe Cannn�
r 2. Does the bu� er ha� e a homesread [o be vaca[rd for this
residence? If yes. provide complece address of renidencr vacating.
indudine counn:
.addirc. L\'unrAar nnd Su�e:iJ
Cirr. Smre. und ZIP Codr . - Comitr
r 3. Homzs[ead \
r 4. Solar Encrey F{za[in_�'Coolin� Systcm
� 5. \\'ind Powcr c��ic�
r (. Hydrocicctric Po�.�cr De��ice
r 7. GeothznnTl Enerey NeltinJCuolino Devicz
r S. Is this property a residzntial rzntal propzn}•?
�G -/�?- /e? �o�- �O�
Under penalues ot per�ur}�, � nereo�• cer�u}� m�c ems �a�re ��uawu�r. �u ����� o��. o� ���. ��.�..��.,�� �
�Iete as required b�- law, and is�prepared in accordance with IC 6-1.1-�.5, "Real Properh'.Sales
J ,(�� ���
Si�nurm'r o(Bm'er
M
THOSF. TH,1T
�
�a %�-d°2�
Act".
ol B+ �SSigrt Dnm (.4LIf:DDi}'YY�}) I P��iuteJ,\'anet ofBLrei�/`� �(� �� Srgn Darr