Homestead_Miley (4) •
•
SIAM roRst ;e.tClwq MEASURER FORM 73-IA
.VIRr1:ED BY.I.5IE[IMAM'',At TY•I T5.9n Prna,aDOY Mr OEPARTICNTOF LOCAL rO\ERVNEAT FINANCE/C I.1"-1.1
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 tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to serifs'that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
flings This information will he kept contitlemial and can only be accec ed by authorized county officials.The Ikpartment 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, Troy J/Amy A
/0caZ E. 45 s
—tt•3
Oakland City IN 47660
8409
Troy J/Amy A Miley
- 10527E 450 S State Parcel Number Legal Description
Oakland City IN 47660-7670
-- _ '-20-02-202-000073-001 001-00073-00 PT NE NE 2 3 9 8.49 AC
`t I I I ur It II u t I I n I I t I nt It II ieI i III t I ttI e I .
—PT NW NW-1-3 9 1.00 AC—
PART 2:TAXPAYER INFORMATION
Owner I ) First Middle Last
�,;y S
In le.Y
-•.Address(number and street,city.sae,and ZIP code) _ - — Same as property oddri s
•(0 5 2'1 - (.so S . OA LAiki C;A Y T. L'1(&1p0
Spouse I "Y` First Middle lI/ Last
Mailing Address(Number(2nd street,city,stale.and"LIP code) - Same erty address
LOi2 - 2. 45D 5. �4la CI �� , _ 4:2(40
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
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION H
.,; State Form 5473 (R2 I's 92)
.• ray _ ..
INSTRUCTIONS: See reverse side for filing instructions. -
' CERTIFICATION STATEMENT
I (We) certify that on the I nog M'ar t
I (We) occupied as d7r prin al place of rest ncethe following descri d real property for which a Homestead Property Tax rFiNFdai
(We) owned ❑ Are buying under contract
_ Have a beneficial interest in the entity that is liable for the properly 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 OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County
To ship W W �••'
T ng distri (city, town, township)
Parcel number
- oo "13
L scr
iption
�� 3 9 C
It 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-
Other land
(2)
(\�,
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County -- �
Township
I hereby certify the above statements are true, correct and complete.
Signature of claim nt
•ess (number and street. dry. state. ZIP code) -
t.
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements. -
(1)
Valuation or 52,000
Other land
(2)
(\�,
Total land (line 1 plus line Z)
(3)
I✓.
Residential improvements
Dwelling
(4)
.
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pits line 7)
(6)
1 hereby certify the above is true, correct. and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
C19_Pay
19
Lesser of 1l2 Homestead
Valuation or 52,000
S
Signature of Auditor
(\�,
Date signed
I✓.
- � Y