HomeMy WebLinkAboutHomestead_Miley (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R7 I &M
Prescribed by the Deparbriant of Local Govenvnerd Finance
INSTRUCTIONS: See reverse side for fling
C23tWICAT10141STATEMEM,
[(We)
I (M) occupied as our principal place of residence the following described rest for which a Homestead Property Tax Credit is hereby claimed:
0 0 1 (We) owned 11 Are buying under contract Prot
Have a beneficial interest in the entity that is liable for the property taxes on the property and that awns the property or is buying under a contract.
CONTRACT RECORDED 71.,.1
tf buying on contraM fee Simple owners mm
Pacarder's office where contract is rem number Page
'PROPERW OWNED & CLAWNT IN ERCOUNTIES, -1 1
OTH �� :
PROPERTY DESCRIPTION"
Township
County
Township
ToNnship
ThIcir d' (
( o a street dry. ZIP code)
;i� nd �*d
VALUE
Q ALUEI��'n
Pared nurnew
It
1 descri the WWquestion:
4
=
P-W property []Mob09Horns(I.C.rl.1-7)
if any porbon =
structure or the Imid rxA exo9echng one (1) acre that wnffecW* surrounds thd
structure m used to wed" �, demnles the use and potion
ct the pop" � m
V
proQce
(06-,0M- CCO-c;5117- C01
'PROPERW OWNED & CLAWNT IN ERCOUNTIES, -1 1
OTH �� :
County
Township
County
Township
I hereby certify the above statements are true. correct and cornpWte.
VALUE
( o a street dry. ZIP code)
;i� nd �*d
A
'ME
ASSESSED VALUE
... H06111ESTEAD
'-,ASSMOR USE ONLY,
VALUE
swulture of Au&tw
VALUE
Q ALUEI��'n
MIA;
Land not exceeding I (one) acre immedalely
surrounding residential improvements.
Other land
(2)
Trial Lend (Im 1 plus fine 2)
(3)
Dwefling
(4)
Residential ffnprovernents or Annually,
Assessed While I Manufactured Home
Garage
(5)
Other improvements
K
is
Tctad irnprovenrents (Cm 4 through fine 6)
(T)
Tdal value (thrie 3 Plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature OtASSesser
Date signed
cornplete-
Vatying acUon - Signature of Auchar
Date signed
STMDAIW DEDUCTMN ALLMEANCF,.-,
20_ Pay 2O—
Lesser of 12 Homestead
Valuation or 535,000
$
swulture of Au&tw
Deb signed
. MATE FORM,u4•IR_).tirt TREASURER FORM YIA
VPRIWED BY MAW SURD OFMVVR:NTS ION PRISCIMD BY 7711 DEPARTMEIT(wu.AL GOVERNMENT FINANCE IC6I.1.224.1
Gibson County Auditor
11)1 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married coupler are limited to one homestead standard deduction.As the receipt of this deduction becomes
_ more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recebe the
benefit and to provide additional identifying information tin:gory to allow county government to better monitor homestead
tiling..This information will he kept confidential and can only be accessed by authorized county officials_'the Depanntellt 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, Richard Earl/Doris Jean _
—__ _ _ _ R I fox 331-. —_ _
'ancisco IN 47649
8529
Richard Earl/Doris Jean Miley
5534 E 550 S State Parcel Number Legal Description
Francisco IN 47649-9148
IIIrIIIrtIIIllfftlftllFltllFlfflffllFlffllftltftlltfllPl111111 26-20-06-300-000.517-001 001-00517-00 W SW 6-3-94.00 AC
4 PART 2:TAXPAYER INFORMATION
Owner I / c 4 4 n vi First Middle Y Last
/ ---- �'�'. 7 fy /-r L ill ,� Ll
�tgAdAddresss(number and street.city,sate,and ZIP code) G� Seine tin propem addreu—
J 14 f S JQ c 7,79,✓cfredTt/ / ?‘ 7 -- --
Spouse First -� Middle Last
DOr / r J E/4-"/ 7 ,'2 r y
Mailing Address(Number and street,city.sale,and ZIP code) I3-Same as property address
c- VA— c 6 S f ts,'c/sc o 1., 4/7d y
/
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 elil:ible 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
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