HomeMy WebLinkAboutHomestead_Miller (2)C
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
Same Fotm 5471 (R7 / 5-M
prescribed by the Depatrnent of Local Gooenmeri Fxmua
INSTRUCTIONS: See reverse side for fling instructions.
CERTIRCATION STATEMENT;
FORl9
YEAR
HC10
I(We) Jf66.LaJ_. %&a - - /0-Mt - certify thgAyffi 1s d;PWMard1. 20_
1 (We) occupied as our principal place of residence the foliamng described real property for which a Homestead Property Tar Credit is hereby claimed:
I (We) owned ❑ Are buying under contract ;;� 'at
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns th4ibl j 6r(tkUb�nli9 ��orhtract.
>.. - ., .. .. ;' ;. -, -• r�. ;. ". {" CONTRACTRECORDEDr�'.^
If buysg on mnb'act. Fee Single owners rertha _ . • ,.
R mrdees office where mrbad is recorded Record number Page
':.. ,., " ,. .:..:; .' , -:, .. -..: i . ,.�``•. ^. °'''PROPERTY DESCRIPTION #:z €?
Canty
Township
Tma ng datrcl (dy, down. townsldp) '
rt�l vtw
Legal description
is the property b question:
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❑ Reel properly ❑ Mobile Herne (LC. 61.1 -7) "
If arty portion of the residedial struchm or the lard net exceeding one (1) acre that mtradratdy sunoxds that sbuchse a used m produce ihmnn, descrbe the use and patios
d the property utilized m prod" it m .
8/plia
r..,
-
BYiCLd1O1ANT oa onfER:COUxT�s +.
County
a FIOitESTEADi...�
Township
County
Township
I hereby certify the above stalements are true, correct and complete.
°t .
sheet dtY. s<a
Z<Pmde)
*V'2170 S. Je
r v sf 7
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-
TRUETAX t
ASSESSEDVALUE
a FIOitESTEADi...�
-1111.11� kg
a NON:tE9DENTIAL,z
Y`,
!ASSESSOR USE ONLY fr
VALl1E ;s
'AT 100%'OF�TTV'
r4„';.NALUE
7 v�
;.. r7ic s
,t�'
T'r'1 �.'rj it'
Lard not exceedng 1 (one) acre irmhediatety,
staraand'vg residentialimprovcnherhls.
t n�� �rk,:�'a ri �5,.•((C. �t�l
Other lard
Teal land (Ikie 1 pkrs Im 2)
(3)
`e 'tn4 #1 { r 411 T
Dwelling
(4)
�» +y *u�.ta�`
Residential mhprovertnerdserAnrwalty
*'..'.f ant1�: .r°yr+'.
Assessed I Manuf KtxBd Horne
Gaffe
(5)
s�
Other improvements
t
Total 'onpmvernerds (Tire 4 through ffne 6)
(T)
Total value (line 3 pks fine 7)
(g)
1 hereby certify the above is true, correct, and
conhplete.
SWmhra ofAssessor
Date signed
Vmytrg action - Sgnabxe of Auddor
Dam signed
' ;STANDARD'. DEDUCTION ALLOWANCE. -.� ;:a� `„ •Ei=, ct.Rt`r "5';N.;.
20 _ Pay 20 _
Lesser of 12 Homestead
E
Valuabon or MODO
Signabxe of Auditor
Dam somd
Mit , IAF FORM 71-1A
M./ROVED By saiFIE B tAR DDF NTaNT<, P[F3NHm BY r DEPA0.IYQYr OF LQLL CAiIIYMFITrD&SCE N�I.1_-t
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead a andani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than Bier for homestead fraud.I lomestead fraud causes higher tax bills for all:therefore.
. PEA 1544-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to ptocide 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 nflicials.The Depanntent 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 Sue/Frederick John 1�
• r
Somerville IN 47683
8478
Sharon Sue Miller
210 S Jefferson State Parcel Number Legal Description
SOMERVILLE IN 47683
26-20-02-404-000.216-003 020-00216-00 RADAR ADD 8/9/10
•
PART 2:TAXPAYER INFORMATION
Owner I - First Middle Last
_ ��lAron S.
g Address(number and street,city,state,and ZIP code) _ Same propproperty addrev - —----- -
ee as --
2 D S. SePcersnn Sompr tit /fP rv3ri,non,
Spouse First Middle Last
t-redene.k .John MI I ler
Mailing Address(Number and street,city,state.and ZIP code) ® Same as property address
•
2 /O S. Jec Gerson, Sonierift. (le , Lodlona.
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 fate
PART 4:ADDITIONAL INFORMATION
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