Homestead_Miller (20) R.
STALE LOAM 53 Vw OL( TREASURER FORM TS-JA
.APPR(SFO BY LISLE UOVDOF AOt:AL.:nn PPEA TIMED BY mr DEMULCENT OF LOCAL roVERVNR.T FI:PACE Ie iI-r11 •
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 IndividuaLs and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ever for homemead fraud homestead fraud causes higher tat bills for all:therefore.
® HEA 1344-2009 requires tatpayers who receive the homestead standard deduction to verify that they arc eligible to receve the
benefit and to provide additional identifying information necessary to allow county gocemment to better monitor homestead
(dints.This information will he kept confidential and can only he accessed by authorized county officials.The Rpanntent 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, James D/Beth A
Po Box 384
Princeton IN 476700
1272
James D Miller
126 S Adams State Parcel Number Legal Description
PRINCETON IN 47670-2206
�t�tt��tr till lull tall ltt ttF�t�tt�t���trtt��tt rl�r�r��rl�tl�t� 26-12-08-301-002.821-028 019-02821-00 HIGHLAND HOME 38
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
Owner I First Middle Last
\iameS pqv;a �i�Iler
Tg Address(number and street,city,state,and ZIP code) (4atne as property address
Spouse First Middle Last
'mil inn � � 411/er
r�
Mailing Address(Number and street,city,state,and ZIP cock) d -S a as properly address
-------�`-_._
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.
lh I Signature Date
•
n.
} CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
SUte Form 5473 (RB I I-03)
Prest�iibed by the Department of Local Govemment Finance
MSTRUCTIONS: See �everse side Ior /iling insliucfions.
� •' ' � 7 'i �
OCT 16 2003
� �e) ti certiy�ifriat�n¢1�ey'I�d y�M �reh�-�e�
I(We) occupi s our principal place of residence ihe following described real property (or which a Homestead Property Tac Credit is hereby daimed:
� I(VJe) owned ❑ Ne buying under wntract �
■ Have a benefidal interest in Ihe entlty that is liable for Ne property taxes on the property and that owns the property or is buying under a contraU.
If buying on contract, Fee Simpie ownefs name
Recordefs otfice where conVaq is recorded
��t"'�'rz`Nr.��;b�.�rz�'.,'�t+c_.'?¢��"-i*S�ic`�
Counry � � - Tamship
V/ /—V�(l�/—U� I �}-L
H eny portion ol Na resitlentlal aW cture w the land not
ol ihe property utiize0 b produce income.
Remrd number � Page
iatin a' t (ciry, town/ wns iP)
�
� 1 � Is the pmperty in question:
1
�d'nn�� Real property ❑ Mobila Homo (1.C. 67./-� .
one (1) aae ihat immeCiatey sunounds Nat struGUre is used to protluce income, desaibe the use antl portion