HomeMy WebLinkAboutHomestead_MillerFORM HC 10 1979 To Be Filed in Duplicate
Premnled By State Board of Tax Commissioners
CLAIM FOR HOME TEAD PROPERTY TAX CREDIT FOR YEAR 19 9 /
SE CK FOR FILING INSTRUCTIONS
0,0 �- 005a.`t'O0
TaWe `� certify that on the 1st day of
rch, 19 I, (We) occupied as our principal place of residence the following described real property for
which a Homestead Property Tax Credit is hereby being claimed:
I, (We) Frowned GY�-oZ0-�•�- Sao -dao.
❑ are buying under contract
❑ have a beneficial inte( es t in the taxpayer
Property Description in _e a r- County � - Township
Taxing District (G4y —, Towrr, Township):
Parcel Number or legal description shown on tax statement:
'Cl St 5e , 5e /3 3- 9 a oa_, �
If buying on contract: Owners. name Itee simple owner)
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
',,ereby certify the above statement is true, correct and complete.
Street
State and
Individual either owns 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 -.
Land not exceeding 1 lone) "acre EeDC y
surrounding residential improvements
Other Land JUN _ u !979
Total Land �.,_...,��
Residential Impei,6d m K
Other Improvements
or
/ (r
Dwelling
AUDITOR
'Garage
Total
rovements - Line (6) plus (7) equals (8)
certify the above is true. correct, and complete.
True Cash
Value
MERE!
01=11 i
•.•
..ate
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
/ 7o / 7 0
Date: Q�z,, i979
Stan FORM 3M IRe!W+1 TREASURER FORM ia-IA
I .APPROVED BY MOOE WNW OF ACtXLL'T5.9an tll3AtBED BY ME DEPARTMENTOF LOCAL CamR:N D:I FP&'YE IC 4-1.1-22.8.1
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 verify that they are eligible to receive the
i benefit and to provide additional identifying information nemvrr to allow county government to better monitor homestead
filings.This information will be kepi confidential and can only he accessed by authorized county officials.The Department of
7 1,'• Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
APR 5 LULU Taxpayer Name Property Address
—
Miller, Earl
_ j/ �j,(%�
/�"' N''�il. R I Box 198
GIBSON COUNTY AUDITOR Lynnville IN 476190
2021 lll��
Earl Miller
7369 S 1100 E State Parcel Number Legal Description
Lynnville IN 47619-8807
I I I I III 1 1 1 1 1 1 1 III I III I I III 26-20-13-300-000.527-001 001-00527-00 S SW 13-3-9 80.00 AC
to urn to n to t nt nrt u t un nr / D-3-8
PART 2:TAXPAYER INFORMATION
Owner I First/// (� Middle [�/ Last
! yq
— �s
s AddrtSS(number and ittce,eity,-state.and ZIP code) — _—__ ® Sam:as propcny adds s
/36PeS / /ooE
•
Spouse "'` First Middle -� Last
Mailing Address(Number and street,city,state,and ZIP code) ® Same as property address
7369,1 //00 �
•
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
S