HomeMy WebLinkAboutHomestead_Miskell (12) Mrh FOAM.MN tV r s.rvt TPE4n:[Fa FORM:11A
M. IMPORTANT NOTICE TO HOMESTEAD rP PROPERTY RO1�OWNERS
'•"Gibson County Auditor
101 N Main
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 incentne than ncr for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore.
® HEA 1344-2009 requites taxpayers who receive the homestead standard deduction to verily that they are eligible to receive the
benefit anti to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be accessed 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
Miskell, Scotty/Amanda
---- - - — -- - _._. __ --
Princeton IN 47670
3111
Scotty Miskell
715 S Race State Parcel Number Legal Description
PRINCETON IN 47670-2720
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PART 2:TAXPAYER INFORMATION
Owner I First / Middle � Last
Sec4 �FL 'y I IIS ee II
IIIAddr__- wimbez rr.d etc:.-:itpa:ete.-artd ZIP cad:)• _—, — - Iii .Same nc nrnpem•.nddrec:_— _ _. ________ _ _ _
Spouse First e Middle ,�/� Last
AD,a nc'k SOZRn n e I ' s )1 e l
Mailing Address(Number anti street,city,state,and ZIP code) [Some as property 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.
Owner I Sicnanrre Date (
�``� "°- CLAIM FOR HOMESTEAD PROPERTY TAX
� ��� .
' CREDIT/STANDARD DEDUCTION
• j�
� State Fortn 5473 (R2 / &92)
�'o'C�" i7•'�.
fi INSTRUCTIONS: Se verse side !or fih'ng ins tiorys. '�� I O 1 p�
l/1 �1. r• � � I
, � ,r" �\�'n'. CERTIFICATION ST�
FORM
- HC10
YEAR
� .0
I(We) certif�P�t o�i� �8�y of March, 19_
I(We) occupied as our principal place of residen e the following described real propeiiy for which a Homest ad Property Taz /Cr/edit is hereby claimed:
❑ I(We) owned ❑ Are buying under wntract � -L (/�.{�'
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that ow �e d�+s�dqf niract.
IHSG��u OI�NiY A OITOR
COnVaCf,
narne
or
CONTRACTRECORDED
PROPERTY DESCRIPTION
town, rownship)
a«e that immediatey
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
certiry the above statements are true, correci and complete.
ASSESSOR USE ONLY
Land not exceeding 7(one) acre immediatety
surrounding residential improvements.
Other land
Total land (line 1 plus line 2)
Dwelling
Residential improvements
Garage
Other improvemenis
Total improvemenis (line 4[hrough line 6)
Total value Qine 3 plus line 7J
I hereby certify lhe above is true, conect, and
complete. �
Verirying acuon - Signature of Auditor
19_ Pay 19 _
Lesserof 1/2 Homestead
Valuation or S2,000
I�)
i2)
(3)
(4)
(5)
(6)
I�I
(8)
7
TRUETAX I ASSESSED I HOMESTEAD
VALUE VALUE VALUE
DEDUCTION ALLOWANCE
S
number
NON-RESIDENTIAL
VALUE
signed
=3D-OI I
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