Homestead_Miller (2)CLAIM FOR HOMESTEAD PROPERTY TAX
�a
CREDIT/STANDARD DEDUCTION
.xa State Form 5473 (R2 15-92)
Feu ,
INSTRUCTIONS: See reverse side for filing instructions.
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I R J!l/ �� M / IW tiSY ��_„�X,X•l.L, cj[kParch, 19__(_1
upl(e 'a our principal ce of reside the following described real property for which a Homestead Prop xJ Cal a m hereby claimed:
owned ❑ Are buying under contract -
a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
- CONTRACT RECORDED _
It buying on contract, Fee Simple owner's name - - -
Recorder's office where contract is recorded Record number Page
, PROPERTY DESCRIPTION -
County -
Township
Taxing district (city, town, township)
w w
Parcel number
Legal description
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that stru re is used to produce income, describe the use and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES -
County
Township
County
Township
reby certify the above statements are true, correct and complete.
Y
Sign of claimant
IX P6,1 am
VALUE,
VALUE
mss (number and street, city, state, ZIP code)
ASSESSOR USE ONLY
TRUE TAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL
-
VALUE
VALUE,
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
"
Otherland
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
,
Residential improvements
Garage
(5)
-
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pUs line 7)
(g)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
plete.
_.,tying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE -
19_ Pay 19_
Lesser of 1/2 Homestead
-
S
Valuation or $2,000
Signature of Auditor
Date signed
,. - 7-
STAT£D�ASI!)Na IM=(ayn IfFASULER FORM YIA
• .APPROVED BY MAIL NAPON AMA NI Y.`IN PILFSCRIBLD BY Tiff DEPMTOS1(F LOCAL CA\[RNMry'T rn:ANCE Mt-at-rat
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standani deduction.As the receipt of this deduction becomes more HEA 1344-200 there a more incentive receive ever for homestead fraud.d deduction fraud s causth higher tax bills
gi for all: sist therefore.
I HEA 1344-?IX19 requires aspuym who recei.e the homestead standard deduction to Yerify that they are eligible to recene the
I benefit and to provide additional identifying information necessary to allow county goverment to better monitor homestead
filinx6.This information will he kept confidential and can only be accessed by aulhnrived county officials.The Depannra of
Local Government Finance will u'c this information to create tools that will help county officials eliminate homestead fraud.
APR 8 LU10 PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
aU ,( Miller,Jimmy UJeanine
GIBSON COUNTY AUDITOR 201 wMill
Patoka IN 47666
576
Jimmy UJeannine Miller
P 0 BOX 347 State Parcel Number Legal Description
Patoka IN 47666-0347
26-04-25-101-000.320-020 018-00320-00 COLEMAN ENLG 8
Illtilltieltiltstlitorlitill I I ii I u II l I l I II r Ir II ii I
PART 2: TAXPAYER INFORMATION
Owner I First I Middle .0 Last
g Ademsroam arididcet;city,state;and ZiP c •e/ —— — '- Sarpc.a:pm ny drs
Other(please specify in Part 4 below)
Spouse First Middle r� t Last
gain n. iled
Mailing Address(Number and sweet,city,stale,and ZIP code) }� uSame as property address
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 1 Signature l•^�_y7 e
PART 4:ADDITIONAL INFORMATION
NIS
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