Homestead_Miskell (15) STATE FORM'39.11Lr5W1 tRFANn[A FORM 79-IA!'
.ArrROVEn BY 5t%Tr.BOARD 01 ACCOUNTS.et PRf3RIBED BY TIM'DEFARflLYl(f LOCAL OOVFR.YMFTT FINANCE KI-II--224.1
Gibson County Auditor
101 N Main 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 tax bills for all:therefore.
® HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to reecho the
benefit and to (upside 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 Deponent of
Local Government Finance will no this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Miskell, Timothy/Neila
640 Water
Princeton IN 47670
1092
Timothy Miskell
640 E Water State Parcel Number Legal Description
PRINCETON IN 47670-2267
II III I III I I I II I I I III III 26-12-07-402-001.491-028 019-01491-00 STORMONT ADD 13PT/14
t o ur r u nt not t u r r n nt F n uu t t
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
/%/ OW/ RAY ��, ,s�� «
sig Address(number and street,city,state,and ZIP code) ame as property address
Spouse First Middle Last
NE114 111fis is /Yj,, SkPZL
Mailing Address(Number and street,city,state,and ZIP code) Same 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 12.iptere Date
•
� } CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
� Sute Fortn 5473 (R6 / 403)
PreSCribed Dy the Depariment o( Lacal Govemmenl Finance
INSTRUCTIONS: See reversc Side !or lilinn insfiuc(ions.
FORM
HC10
—�'�
YEAR
�
�(We1 certify that on the 1st7�d�a�1y��f March, 20
I(We) occupied as our principal place oi si ence Ihe foll 'ng described real pro rty for which a Homestead P�e��TaqCredtt i5 hereby daimed:
❑ I(We) owned ❑!ve buyirg er contract /�,+ ��I � n
� Have a benefidal interest in ihe enfity Nat is liable for Ne properry taues on the property and that owns'the pmperty,or is,buying.und _a wnVaIX.
If buying on conVad, Fee Simple ownefs name
Recoidels afice where contracl is recorAed
7nvnship
Ul9-0I �9�-� I ��Q�zrn��
Iol the �n� o/ Ne resitlanllal sW ctura oi Ne land nW ezceetling ane (1) aae tAat
VroP�b util¢ed to praduce income.
: `�a:,'�r�'it�*-'_�e��^t`'��`�"'�"�" ��.����p?FROP.ERTY;OWNED`�BV
County Tawnship
I hereby certity ihe above statements are We, coned and comp�ete.
.�.Edreu(numberandstrp�e(,ci(};�Sfa(e,ZlPCOde) %�
l�N.
Record number � Page
Real Droperty ❑ MoDile Homo (I.C. 67.7-�
ire is use0 b produce income, describa the use anC portbn
Tavnship
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