Homestead_MileyFORM HC 10 1979
lrrescrioed By State Board of Tax Commissioners
To Be Filed in Duplicate
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR 19 7
i
SEE BACK FOR FILING INSTRUCTIONS
-- A
�(We!y a�L-�.�+t' W• °� y7,L� -Q- certify that on the 1st day of
arch, 19�, ( e) occupied as our principal place of rest ence the following described real property for
which -a Homestead Property Tax Credit is hereby being claimed:
I, (We) El owned
6� - 'qo
❑ are buying under contract .-
❑ have a beneficial interest in the taxpayer
Property Description in ,,�/ A �� a m-+ •/ -� County Township
Taxing District (,city- Town- Township): !9
Parcel Number or legal description shown on tax statement:
W3, Scuff L -3 -9 3 V/ &0 =
If buying on contract: Owners name le" limp"'
Contract recorded in Recorders Office - Record No
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
I hereby certify the above statement is true, correct and complete.
09 _ ®_e >,l .b n o
e - Street Address City. StatYand Zip Code
Individual either own 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 -
True Cash
Value
Land not exceeding 1 (one) acre immediately
surrounding residential improvements (1) .3 -00
Other Land Q� (2) S 9 3 0
Total Land t ����iiii (3) 6 J1 & O
Residential Improvements F I 4E, D (a) a S to 7 o
Garage JJJ��� (5)
JUN o'ta11979 (6)
Other Improvements
-
(7) `-
Tn�Improvements Line
I uy certify the above
(b)
is
plus
true.
�'lequ s �(8)
corre and comomTOR
02 S1 70
of Assessor
- ACTION BY AUDITOR -
Assessed
Valuation
Homestead
Valuation
/ 70
WM •
Date: c:�'- gym-7 C1
taut rated',!.12'r i O 17CLANIIR FORM i-IA
APIRMED BY Mitt erMRO1F Yrry tsTt.ain PLW llBID BY fit BEPMTMEJT(w LOCAL Cdt[RVMrhT FINANCE/C 4-1.1-224 I
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 tat bills for all:therefore.
• HEA 1344-2009 requires taxmen(who receive the homestead standard deduction to miry that they am eligible to recent the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
hlings.This information will be kept confidential and can only be accei seed by authorized county officials.The Depanment of
Local Goverment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Miley, Ronald W/Brenda J
R I Box 331a
Francisco IN 47649
8530
O ,
Ronald W/Brenda J Miley �J✓
5726 E 550 S State Parcel Number Le2al Description
Francisco IN 47649-9147
LLIILttItlltltlrrllllrrLltltttllJrtlLttLJtltll III 26-20-06-300-000.518-001 001-00518-00 W SW 6ra934.60AC 010
PART 2: TAXPAYER INFORMATION
Owner I t ^ n 1 First ., I/" Middle Last\4 ICU I l_lJ. W •
--song Address(number and street.city.state,and ZIP code) - —-- - - ❑ Same as proper y address -- - '-- - - - -
57IID e . 550 S. d anu Lab, 4i1u 4.74-4
Spouse �JtL1J lJLlll_-1.��11J First Middle Last
r
t^ 1
Mailing Address(Number and street,city.state.and ZIP code) ❑ Same as property address
5 7C(0 (j. t 550 S. �Jla.m_o _u , Lhv 4764-61
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 Date
PART 4:ADDITIONAL INFORMATION
1111 -