Homestead_Miller (2) CLAIM FOR HCoESTEAJ PROPERTY TAX CIDIT FOR YEAR 19*
• SEE BACK FOR FILING INSTRUCTIONS
I, 0_) erx W . � Y)) / M p�_) certify that on the 1st day
mach, 199Lg , I, (We) occupied as'" principal place of residence the folluaing described real
—operty for which a Hom estead a46:sty Tax Credit is hereby being clamed:
I, (We) Fin owned
Dare buying under contract
have a beneficial interest in the taxpayer l
Property Description- in i County de-� V Ib.ruh
Taxing District (City, Tam, Township) : - 7.0
Parcel thn±er ` • or legal description shown on tax statement:
Fc 44 • D . S 6 /— i6 . 1774
If buying on contract: 0.veers nacre (fee sintle owner)
Contract recorded in Pecorder's Office - Record ib. 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 intone, describe the use and portion of
the property utilized to produce irroina
Pny other counties in which individual owns or is buying real property: Commty . Ta..nshiD
hereby certify the above statement is true, wrr- t and complete.
-1- '1171, Eoctta VT)r `7)" gQ“ e• / .L70 o
*Signare Street Pddres / City, State and Zip Co:
*Individual either owns or is baying uner 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 -
True cash Assessed Finreste
Value Valuation Valuati,
Land not exceeding 1 (one) acre immediately (1) Sc °���
surrourr ing residential improvements ' /����/l�
(2)
Other Land (3) i /��/���//
Total Land r ii,
Residential Irmnrovgrents
Dwelling
(4) . a $o / //M ��/ll��//
Garage (5) a G a 7 / / %// //�// A
A 7 y- 0 p
ay
Total (6)
(7) 3 o �_ : %/��h
Other Improvements 7- � /////7
To hro rovements - Line (6) plus (7) equals (8) (8) 3 0 $ o = _ ` ••.` /' iG
® hereby certify the above is true, correct, and complete.
v Date
Signature of Assessor
- ACTION BY AUDITOR -
es 0 _ Date: y- I - r.6
,,;,prov ::
REASURER FURMTSIA
STATE TATEVERBYIS ATE BOARD
' • APPROVED BY STATE BOARD OF ACCOUNTS 2909 PRESCRIBED BY THE DEPARTMENT OF LOCAL C04TA\MEYr FEN Y(E IC 6-I.1-2I411
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTI' OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud muses 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
•h benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department 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 Location Address
_ Miller, Ronald W/ Melody M
8392 N TRIPPET RD
• HAZLETON IN 47640
220
Ronald W/Melody. 'IA-Miller-
Millet l 111II Iii-1111 1111 1111111 1 1110W II i 10111 IIIII[IL H I01.1III011111101111I111111111111
8392 N Trippet Rd
Hazleton IN 47640-9268
I'IIillllll�llli'III'IIlII11'I"'�I1I1I1lilll'Ili1tllllllll"'III State Parcel Number Legal Description
26-02-58-050-000.620-018/ PT MD 501-10.8781 AC
■
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.
7 --- PART z _TA\FAYER INFOR:AIATIO\ _ _ --
a'..•r I First Middle Last
i41hA1(1 W J �/�of Irl't Ike
Mailing Address(number and street.city,state,and ZIP code) E'$ame as property address
$3'la rJ .. 1;pe'eJ ea r -L-icen, -: Lj''c `l. v
Spouse First
- Middle Last
Mel° til i (1.ifie Ile_ rYlt.,
Mailing Address(Number and street,city,state,and ZIP code) / 13-Same as property address
`O3V■ N T L p1+ eCL 2-LE-DP ZA`(1(,`Ed u
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.
or ignature Date
V a__.
PART 4: ADDITIONAL INFORMATION
v
Form HC 10 Supplement 000 V
/�
Worksheet for March 1, 1989 Assessed Valuation �ID
® HOMESTEAD CREDIT CALCULATION FOR 1989..
County Township Taxing Distlr-ict-
Name of Taxpayer
Parcel No. or Legal Description
ASSESSORS CALCULATION
True Tax Assessed R NR
Value Value Resid. Non -Res.
Land (1 acre maximum)
(1)
0?7c)o
90�..
XXXXXXXX
Other Land
(2)
lesser of 1/2
XXXXXXXX
lesser of 1/2
Total Land
(�)
"R" A/V or
"R" A/V or
as 1991)
$2,500
$2,000
$1,500
�a3o
XXXXXXXX'
Residence (Dwelling)
(4)%00
.-
,
Garage
(5)
Signature of Auditor
-
XXXXXXXX
(>l6Jo... eou^irf
Ar Dbj—c f,
Other Improvements_-_-,
(6)
_ XXXXXXXX____
Total Improvements
(7)
00
137.0
Total Land and
Improvements
(13)
I hereby rtify the abovL ue, correct, and complete.
C.�Ctt�
Signatur of As6Zssor
" "' STANDARD DEDUCTION CALCULATION --
IC 6- 1.1- 12 -37 provides that a person who is entitled to a Home-
stead Credit is entitled a Standard Deduction. . .
Amount of Deduction Allowed
1989 pay 1990
1990 pay 1991
1991 pay 1992
Years after
lesser of 1/2
lesser of 1/2
lesser of 1/2
1991 (same
"R" A/V or
"R" A/V or
"R" A/V or
as 1991)
$2,500
$2,000
$1,500
Ll,
Signature of Auditor
-
-
(>l6Jo... eou^irf
Ar Dbj—c f,