Homestead_Miller (19) STATE FORM 535t9(R3/8-IC) - TREASURER FORMTSIA.
APPROVED RESTATE BOARD OF AMOUNTS.YW PRESCRIBED BY THE OEPARTMEN'T OF MCATrO\'tAS'MEYT FINANCE IC 6I.ISSa.I
Gibson CountyAuditor, IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married 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,
•
• F T�1 T■ HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
1 ,Lbenefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Depamnent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
APR 7 2011 PART 1: PROPERTY INFORMATION .
•
C n Taxpayer Name Location Address
Miller, Ryan Keith/Kantin K
GIBSON COUNTY AUDITOR 308 S Stormont
Princeton IN 47670
946 I p�
Ryan K Miller 11 lulu-VIII 011 1 01111. II�II01111101 I II�II. III VIII] Illlll_III�II.I�II I�IIII
308 S Stormont
Princeton IN 47670-2232 ..
Irililll1I1II'ill'Illi'IlllIi'IiiliIl'lllll'IIIIIIIII'I'II"11'11 State Parcel Number Legal Description
26-12-07-402-001.933-028✓T NE SE 7-2-10.39 AC
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.
E PART 2: TA XPAYER INFORMATION
Owner 1 First Middle Last
- acceiMN �� �ker•
Mailing Address(number and street,city,state,and ZIP code) - RL Same as property address ..
04Ca abil rnar\-k- SV C1 ', Nce / ► N 41161 b
Spou4\ 2_%60A- First • Middle Last
Mailing Address(Number and itreet,city;state;anhZIP code) - - - - --- - -- - 0\Same 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 fmancial penalties.
Owner 1 Signa - Date
• -. •
•
d' ^'n
�_ s
� i
�u.
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fwm 5473 (R5 / 10-01)
Prescribed by the Depariment of Local Govemment Finance
INSTRUCTIONS: See reverse side (or filing ins(ructions.
FORM
HC10 M
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t� L'i'a
County
a�oaam
Tovnship
Le9al
sWdura w ihe land no�
ca inwme.
Taing disirict (ciry, town. townshiP)
Is the property in question:
❑ Real property ❑ Mobile Homo (I.C. b1.
one (1) ave l�ai imme0ialely sunounds thai swcWre is used lo produce income. desvi6e the use antl portion
3°
��-,'3_�:'�.-�::� �;.�;,, s'.-i'.,?>=?_�FROPERTY.OVYNED`��B\''CLAIMANT;1'N��:OTFIER'COUNTIES+�::�-?i:s�'�:i.,'`,}'s1.3 "'�'-�'�-...���f ..`"=
Coun�y Toxnship Couniy Township
I hereby certify the above statements are W e, correct and wmplele. Signamre o nt
i
'i' ss(number and sbeef, cey; stafe, ZIP code)
3DK S. Stp2�on� si. �n.,cc ni =�.! -�
y� �f���"�AS�ScS RO SEON Y��a; ���' tTRUETAX � z ASSESSED�VALUE� iHOMESTEAD� �,��,NON-RESIDENTIA,L�� �
���i�.�•Fc�.-'? :i�� r ��!`,E="�:v _ .-+..�r � ����.s-.` ¢Y�?<VALUEi r..s`.. �..AT-100% OF�Tf V u c?..�'i VALUE�� � �...-'F � r!.�v.VALU E s,• � �I.i;:.
Land not exceeding 1(one) acre immediately `' �r� f'.��a" r'�� .;� � ��
surrounding residentlal improvements. (�� `�._, y�F�`�i�,,,.,,�� , ���t.�-`
I � �� r �� �.�� _
Other land (2) ,^: 44:sr�r,..,.T�„�
.5 .S -tLY✓����iJ:t�xi�.F
Tdal land (line 1 plus line 2) (g�
,+ rr_�Tr
��is'� vr.�'�.• ��✓ � �r ..: -`�
Dwelling (4) -
Residential improvemenLS ��f�'��'��'�""`�"-�""'����;
Garage (5) r�f.t`i r',�'`z.... ^.- ��- �,..
.. "�'`� i--,�..4.s:.
Lsi.r.??i-:-� �,�n ��:_
Other improvements (6)
� � M1 ���r �i j .�-, _
. ).. ���_� ,.�,
Tolal improvements (line 4 through line 6) (7)
Tqal value (line 3 pf's line n (g�
I hereby certify the above is We, corteG, and Signawre otnssessor Date signed
complete.
Veritying aclion - Signature oflwditor Date sgned
;�f,�:2+Ea'€."�s�..`+L>.+�-�"�`�..�tslw��"v;n�3;:.�.-y�`�'�'=STANDARD.DEDUCTION�ALLOWANCE �^" s[�z�==wtu� .°�.' ����:�. . ,
Ltivwit.'.Sri:..is.z"�fi+t�:, r l���a_s . �t�Cw.'
20 _ Pay 20 _ � -
Lesser of tl2 Homestead
ValuaGon or 56.000 S
SignaNreofAUditor � \ Date�ign �� ^
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