Homestead_Miller (12) SIAIE ruEN!Jtt tt /s m, IREI.IJIAPORNI is-tA
.APPPtW'EO BI'STAT.WARIMrwTYacsac w. PUUSRIBW BYTIL DEPAAIMENT(WL0.AL aWtLNv,IXT FDANCEtCLI.I-U-f.l
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead aandanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ner for homestead fraud Homestead fraud causes higher in bills for all:therefore.
® HEA 1344-2006 requires taspavers who receive the homestead standard deduction to verify that they am eligible to reecho the
benefit and to provide additional identifying information necessan to allow county government to better monitor homestead
filings.This information will be kept confidential and can only he accessed by authorized county officials_The Depannlrnt 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, Sharon K
1506 Man Lee DR
' Princeton IN 47670
3223
Sharon K Miller
1506 Mary Lee DR State Parcel Number Leal Description
Princeton IN 47670-3118
26-12-08-104-001.785-028 019-01785-00 EAST HILL 19
I n nr It II nI ut III I I nu I I nt III IIIt II nu I I Ii I rn I I
PART 2: TAXPAYER INFORMATION
Owner I First �i Middle Last
-5 hi; eo N 1\ YYj, !!e t
411 LL Acidf v(number am:strst,city,stater and ZIP eodep -- —- -- —-—.. -- .GL,$ame rs property address _ - _ - - __. ._ _,
/So (' 7'1 ivy Let De PR/Net tsft) In/ 1176 7 o
Spouse First Middle Last
- Ne ' / F FCE ,e1—
Mailing Address(Number and street,city.state.and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
arse
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 Telephone
14�1I1 ° ( )
Spouse Signature Date Telephone
( )
PART 4:ADDITIONAL INFORMATION
•
WflM HC 10 7979
PreuriEeG By Srote Boa�a ol iaa Commisslone�s
10 Be FileC in WDlicate
CLAIM FOR NOMESTEAU PROPERTY TAX CREOIT FOR YEAR 19�� �
SEE BACK FOR FILING INSTRUCTIONS Q� q— ��( b S���
'(We) • � ��'w � • �r1 �� certify that on the 1st day of
Aarch, 19_�_,�, I, (We) occupied as our principal place of residence the following described real property for
which a Ho estead Property Tax Credit is hereby being claimed:
I, (We)�ned
❑ are buying under contract
❑ have a beneficial interest in the taxpayer ^
�'' . , � �ri
Property. Description
Taxing District (City, Town, Township):
Parcel Number
If buying on contract: Owners name ��� simple
nty _ � Township
or legal description shown on tax statement:
��.�. �1.�.[�. �,��.G- �8"�.�- L�
Contract recorded in Recorders Office - Record No
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
�hereby certify the above statement is true, correct and complete.
/, „ �-- ' - . /J�,�/.i �,__ v ,n
County
Township
a,� z�p
Individual either owns or is buying under a contract that provides he is to pay ihe property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediately
surrounding residential improvements
Other Land
Total Land � � � � �
Residential Improvements Dwelljng
ti!��Y n n 19�9
�• 4 Gar ge
% � Total
Other Impro"vement� Y, �p ti
Tr'-' Improvements - Lipe (6) plus pa�g,qu�J� (8)
I�by certify the above is true. rrect. and com etE
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Si9nature oi nssesmr
True Cash
Value
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- ACTION BY�AUDITOR -
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Homestead
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Date: G - z2 — 79