Homestead_Miller (11) MATE FORM,,!Mll:r NNI TREASURER W0.4TS.tA
.A,rrwED BY ST11.WIARDew ItOrOU.stc-a,V PRL'flhWD BY nIL DEPARTMENT Or LOCAL r5NER.N4rll FINANCE IC VI.I-t_'r.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction bcrontcs
mole beneficial,there is more incentive than mgr for homestead fraud.llomestead fraud causes higher tan bills for all:therefore.
• HEA 1343-20119 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 confidential and ran only be screw('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 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Miller, Gary Lynn
1036 Vine
Princeton IN 47670
— --1645-- -- - -- - - - - — -
Gary Lynn Miller
1036 Vine State Parcel Number Legal Description
Princeton IN 47670-1164
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
§A � L.yN
/�
Iv/ l I C P
-_ �tg.Address(n u m b e r and street city B m t e,a n d ZIP Fode)——_- -- _ - - Q..Seine a s properly uddrw • _.
{ 036 ,lit,' pt_iNGof Ltd -ZND 4-7 (r7a
Spouse First Middle Last
Mailing Address(Number and street,city.state.and ZIP code) ❑ Same as propene address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sac
PART 3:CERTIFICATION
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
•
•
Resm0e0 tly Slaic Iloa�� ol la. Comnuss�uneis
CLAIM FOR HOmESTEAD PROPERTY TAX CREDIT FOR YEAR 19_S�
/� SEE BACK FOR FILING INSTNUCIIONS p�9-pi�g�'GO L/
Il Mtln
� � I�1(X,QN -- certily U�al on lhc 1St day o�
M� 19 I, e) oc upied as our principal place of residence the following described real properry for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) owned
❑ are buying under contract
❑ have a beneficial interest in t e taxpayer
Property Description in County Township
Taxing District (City, Town, Township): ��`�
Parcel Number' or legal description shown on tax statement:
Q� N���I I1•1-li _12A _
If buying on contract: Owners name I�ee s�mo��
Contract recorded in Recorders Office - Record
If any portion oi the residential struclure or ihe land, not exceeding one (1) aae that inunediately sunounds Ihal
structure is used to produce income, describe the use and portion o( the proF�erty utilized to produce incoine
Any other counties in which individual owns or is buying real property:
certify the above statement is true, correct and complete.
AO��ess
County I�ownship
I.IIV. Jl.liC i1�I�I c�ll Vpin
rl L�=.3`f"��
' Indivi ud—ia e7ther o�ry+�nS�o is buying under a contract that provides he is to pay the properly taxes
����onCSt#�e�r�sidence, or has a beneficial interest in the t<�xpayer.
�UN � �98� - FOR �ASSESSOR'S USE ONLY -
n _. , ,�, �'y(,t.}�s True Cash
,: �
�,vw 'auprjoR ° va�ue
_and not exceeding 1(one) acre immediately
surrounding residential improvements ���
Dther Land
Total Land
Residential Improvements
Dwelling
Garage
Total
(2)
(3)
�4 � --
(5)
(6)
Othe�rovements ��� ---
7ota1 . ,�rovements - Line (6) plus (7) equals (8) IS) _____
I hereby cerlify the above is true. correct. and complete.
Sqnawrc ol nszessor
- ACTION BY AUDITOR -
l �t�- "-� ' �
Assessed
Valuatioii
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Homeslead
Valuation
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