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Homestead_Miller (18) STATE/01M p)!NIRL)PI bF sCiM FORM TS-IA .Arrsmtn BYsnTLBD.RUOFMMLATSmb PIEV[RIBW BY fir DEPARTENTOF LOCAL e 0..NEAT FINANCE IC i.1-r4.1 Gibson County Auditor 101 N Main ,t 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 becomes more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tat bills for all:therefore. • HEA l344--2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the benefit and to provide additional identifying information rKttvan'to allow county government to better monitor homestead filings.This information will he kept confidential and©n only be accessed by authorized count'officials.The Depanment 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 W/Jaime W / 6O E01110 PRINCETON IN 47670 1373 Gary W Miller 908E Ohio St State Parcel Number Legal Description PRINCETON IN 47670-3065 26-12-17-103-004.245-028 SOUTH PARK SUBDIVISION 12 1 r1 I I lI1 II I r III 11111111,111111111111,811111111$11 __. _ _ _ 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 f Owner I J First �" Middle M Last Gard Way it/ei' �ng Address(number and street,city,state,and ZIP code) Same as property address o E. D4 id n �nc1°earl V"97& 70 Spouse First Middle Last nn e, LJe-S Ile- ,1?t 116 Mailing Address(Number and suee4 city,state,and ZIP code) 1-L Same as property address 905 C (/! Pp,nc-e ton iii' y76 70 L]0 .. 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 S. Date IP CLAIAA FQR HOAAESTEAD PROPERTY TAX CREDIT/S'iA1dDARD DEDUCTION smm r�, s4r3 cm i s-ou� Pias�ed by 9ie Depertrnenl af Lo�l GoeeinreN Fmmwe INSTRUC710NS See ieverse side /a filing instrucSons. . . . �. �' . ... . . . � � " ' - . . . . . - - . . �. CH2TIFlCJUI .- 0 �� i = '� )� ;�. �(We) cer6fYthatonffie`f`s�e�" (_ '2(1— �(We) �P� P�aP� P� rrsiderice Me fo8ow�irg desa�bed real poperty for which a HamesMad F�QBRaS�@4�iW �� �� M�e) owned ❑ he buymg under cmtract Have a benefidal intetest in fhe entiry that is liade iw tAe {roperty �ces m the popaty and tliat awns ihe property or is buyirg under a conlracf. � ' . - ..:i �: ' CONTRACT;I�CORDm�:>(. a�. ;�.t�,���'s " _ ��,,,r.r�'.�,. .:i;.,.!3;4'':c„'�{r rc wy.g a, m,aaa. Fee sm�le a�ners reme f�mde/s alfice whae wr0iacl is recadeE Recod number Page .,. . � � _ . ..,. . ., . .. . .. I� -PROPERTY.DESCRIPTION�-- � �..r � 4 ...�`£t3. .a.:;.-,���. ��,�j Canly. r. .� Tawrrslup T�g di9licl . hiwn. fwndRp) , Parrel nuriba � L �Ptim .. ,� I La Na n ': • �°" r�m v�w�.b ❑ nbab ra� ��.c. s,.,-n rce v�au,a��eQu��a�a��y��»�m�:�ya,�„�u,�m�..a,aa��drov�+m:�b.d�.,mma�m,a� a e �a;sma m wom,� o,mn,e. a 6 - ra - /7 - / 0,3 - o o �. � 4� s -D,c � ,..�. , . , _ _ ; �eoa�xrr o�+io+m er c�nnaNr o+ on+at couert�s . • .; . ; y. : .: x> �. .',� �>: : �.w,;. r � Caunly Tornahip County To.vnship I hereby oefify the abwe 5faffirt�ents are true, cared and cortyle�. re d d�mae � _ . (nureer em atreet oA: sbm. ZIP cnae) �, " g E. Oh i O t �!1C 1 O r� 1N �-l� ln l7 �. ' . . • ' � �"" .� Y`. ,'' TFCJE.TAX � ` ASSESSED VALUE .HU81ES7EAD' � �,,, � NON�iFSmENiIALti'� �� -rASSE3SORUSE�ILY� „�j �, y�E.,- �(AT100%OF�77V s.r '-'VALUE < r:e..��,.� Va-�fs;F� sMk�''� . ..� , < ,. - , ,.,. .. ; . . . � � �. . , � .. Land not euefl6ng 1(me) aae imrediatey :, ' ,s"`�i <=';Y��' aw'':' ��� i ;����, ,( s�mavd'vgtesidentialimprovert�ent9. (�� .ir�t�+i�:n �us;"°�j`_;`i��5i?�ro5 OU�er lard (2) ; ::F�;�;'�!�;;;;. � �. i- B '�IY �,.1 "a�. TW� Fand (1'oie 1 plus!'me � (3) � v `�! � .P „� 4 . _Nr�J ��j�i��a ResdentialcnprwernentsarMrwally ��� (4) ��x"rr,1`•`�.�t.a� ct...�x.`�����t:,5`A�'��;'`� Aswssed �bb�e / Marntfac4aed Flome �i s�' .)>✓ .�n = r w<-;� �y�e �5) J�s "'f,�`��,T�," �n's1= 1 yA�,� .. rt.:?:� r�?%+,ryrt�..2.. . ?.1.:�.1.:i^�� Otl18fUf�pfOV¢m¢nt5 (6) s ,��e'{' S��. ..z,. r. w Tdal'vnprovernerrts (!vre 4 througA 6ne 6) i7� Tdal value (I'vie 3 pds ffne � �g) I hereEy certify ihe ahove is 6ue. cared. and ��ae of Asaeswr Dem sipied � Veifyirg adfm - Si�sWre aF /Y�6Lr Deb aigned ' . • � ' • '�,�-��-�STANDARD�DEDUCTIONALLOYV/WCE� ��n.�ii:iS` � .. ��. t` ..&*�..�5�,;',���..��45'�,:'?�'.4F.,,��.'t� �—P��— Lesset of 12 Homestead Valuatim or 535�000 E Sig�a4ae of Audfu Date si�ed