HomeMy WebLinkAboutHomestead_Miller clan I ORM!Mt.IR:I NMI MIASMA FORM TIA
.Arrrrw'Eo BY RQE WARD oFMRR:NTC.qM PREYRThTT BY Tilt DEPPRTNIM7 OF LOCALrOVERNMENT FI:ANCEIC
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 1344-2000 requires taxpayers who remise the homestead standard deduction to verily that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.this information will be kepi confidential and can only be arce sed by authorized county officials.The l)epanntem 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, Charles H/Barbara Trust
RI Box 184 O
Oakland City IN 47660
4868
Charles H/Barbara Miller Trust
8719E 360 S _.-State Parcel Number jal Description
Oakland City IN 47660=8407-'- —
Iritlllnnnlllltrnlltnlinntllllltlltllllntlnttltnnllllllnlllltl 26-13-34-100-000.568-006 003-00568-00 PT NW 3a-2-96.67 AC
D-6 C-1
X
PART 2:TAXPAYER INFORMATION
Owner I First � Middle Last
/)
tg Address(number and street.city,state,and ZIP code) 1 Same as property address
/ r&Lo ,fiat /1",1 -r /7 .Ga
Spouse First Middle Last
g42R h p, p Alf 11€6-
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
76.6-v - — —
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is true and correct and that he or she is eliuible 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
•
FORM HC 10 1979 To Be Filed in Duplicate
Prescribed By Slate Board of lax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19L ✓
SEE BACK FOR FILING INSTRUCTIONS
003- po54q -0A
(We) ^" /,,, 4 certify
that on the 1st day of
March, 19-11— I, (We) occupied as our Orincipal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) 13 owned a o —/J ✓ �aw U�. �!o �J06
❑ are buying under contract
❑ have a beneficial inter st iayer
Property Description in
Taxing District (City, Town, Township):
Parcel Number
It buying on contract: Owners name (lee simple owner)
Township.
or legal description shown on tax statement:
Contract recorded in Recorders Office - Record
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.
County Township
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence, or has a beneficial interest in the taxpayer.
- FOR ASSESSOR'S USE ONLY '-
Land not exceedin 1 (one) cr mmediately
surrounding �i�ti'� im�e en
Other Land
Total Land MAY ? i•. 1979
Residential Improvements Dwelling
Garage
AUDITOR Total
Other Improvements
Tre..1 Improvements - Line (6) plus (7) equals (8)
#by certify the #ove is / true. erect. and complete.
1
Si9na:u1e of Assessor
True Cash
Value
(1) SO-O
-(2)p�
fo
(3) O 32 0
(4) 90
(5) —10-
(6) ' ���p90
(7) /,)- 602. O
(g) —// O
ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
/70
oa:e
Approved: r n e �7 /C�c r1�c �n Date: