Homestead_Miley (5)FORM MC 10 1979
PresuiGeE By State BwrG ot Tax tommissfoners
0
To Be FileE in Wplicate
CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 192`L J
SEE BACK FOR FILING INSTRUCTIONS �Ol- QOr'Ja�'O�
�(We) certify that on the 1st day of
��larch, 19�_�, I, e)�occupied as our principal place of residence the following described real property for
which a Homestead Properfy Tax Credit is hereby being claimed: �_ �� �
I, (We) ❑ owned �`° - `•`� , - -
❑ are buying under contract �, 13/�yGCY`�
�,� DY
❑ have a beneficial interest i t' he 4axpa ra�.�Q _� Jr. _ 3p� a��� g —CYj 1
Property Description in ���z County ��� Township .
Taxing District (�6iEy, Fewrt, Township): ��
Parcel Number • or- legal description shown on tax statement: -- -
P}. S cd � /J -3 - 9 .�/o. 33 �-.�o
If buying on contract: Owners name ��� simple
Contract recorded in Recorders Office - Record No. Page
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: County Township
�hereb ce�tify the above statement is true, correct and complete.
/ , �
' ignature Street AOaress � y, S:aie arw Zip Cotle
' 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 exceeding 1(one) acre immediately
surrounding residential improve y�
Other Land � � � � , )
.a..d'
Total Land
Residential Improvements JUN 1�' T��Iling
'� • � � uur�-�t�
, f,� au�roa
O�her Improvements
T��` Improvements - Line (6) plus (7) equals (8)
I�by certify the above is true. correct. and complete.
O: ASSC55O(
True Cash
Value
(�1 Soo
(2) 7 7 9 a
(s� � 02 7 0
(4) // ..3 80
(s�
�s� / / 380
(7) / 0 9Ao
(s) � .� 3 � o
- ACTION BY AUDITOR -
Assessed
Valuation
— /.:?Q
Homestead
Valuation
- %/%////%�/%/%/%%//.
Approved: � 4.,�GG.Z�e�� Date: G-/�- 2/�'
STATE IORM MW 1Rrt✓.nl TREASURER;OMITS-IA
NMrwED BY 5101.&S D MYYIt•rl.yn PrnBEmDY nDEPARTEVT OF LOCAL GOVERNMENT FPI\tE IC 6-11-1:4.1
Gibson County
Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple,are limited to one homestead ssandatd deduction.As the receipt of this deduction become,
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 verify that they.are eligible to receive the
benefit and to provide additional identifying information necessary to allow county gmemment to better monitor homestead
filings This information will he kept cmii douial and can only be accessed by authorized county officials The Depanmeun 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
Miley, Wilma Trust
RI Box 151
Oakland City IN 47
1380
Wilma Miley Trust
R1 Box 151 State Parcel Number Legal Description
OAKLAND CITY IN 47660-8548
- - - 001-00522-00 PT SW 15-3-9 36.33 AC
Illtrllttrlllltttllttllttnittlttlllttl'tIIitlttIIuttIttIttItII 0-8
X
a to- zo - /6-3oo tea. 115 — cm/
PART 2: TAXPAYER INFORMATION
Owner 1 � Fins Middle / Last
/7) • / Q
— ng Address(number and street,city,suite,iind ZIP code) — - — trft..:4eme as pmperiy udd.c s— '-
1/ , V LS ,? -� F C? /c& 1 c, 7�
- -
Spouse First Middle Last
Mailing Address(Number and street_city,stale,and ZIP code) [J Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sr=
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 Sign I)ete
PART 4: ADDITIONAL INFORMATION
•