Homestead_Miller (2) .1 STAVE 10KM!Jt tit/W e) TREASURER FORM SIA
Arrny%tn BY MATE BMMOOF ArtPt'.YIS.qx PLISLPUBED BY PIE DEPARNINTf LOCAL Covtrntr,er FINANCE M 6-I_I-22-1.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD N Main D PROPERTY OWNERS
(PRINCETON IN 47670 Individuals and married couples arc 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 lac bills for all:therefore.
• REA 1341-2009 requires a.xpasers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he Lepi confidential and can only be accessed by authorized county officials.The Depannlem 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
Miller, James A/ Linda S
R I Box 32 1'
Francisco IN 47649
8504
James A/Linda S Miller
7962 E 550 S State Parcel Number Legal Description
Francisco IN 47649-9128
I I r r I I r 1 1 1 1 I I r r I I r l l l l l l l l 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1.1 l r l r l l r l l r l r l l 26-20-04-300-000.537-001 001-00537-00 PT SW 43-9 96 AC
D-8
-PART 2:TAXPAYER INFORMATION i
Owner I First Middle Last
�Jernes A/en Miller
�ng Address_(number and scree[,city,sate,and ZIP code)
E-6atne ns property odan.si — -- --- - -
r icll� a r s57 fm/xcisr0 Z2 y , s./9
Spouse First Middle Last
J iidh St( e /Yli//eI
Mailing Address(Number and street,city,sale,and ZIP code) (Thane as property address
'79bJ b 5 I Frzr ls« - zii r9 •
4 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 J Uat /O
0
FORM HC 10 1979 To Be Filed in Buplicate
Prescribed By State Board of Tax Commissioners
CLAIM FOR HOMESTEAD PROPERTY TAX CREDIT FOR YEAR
SEE BACK FOR FILING INSTRUCTIONS
_ p 0 � - 00 531-00
P(We certify that on the 1st day of
arch, 19 I, (We) oc pied as our principal p ace of residence the following described real property for
which a Homestead Prope y Tax Credit is hereby being claimed:
I. (we) ❑ owned
% -06�
❑ are buying under contract
❑ have a beneficial interes in he taxpayer
Property Description in County L Township
Taxing District (Etty, Tewn, Township): lq �
Parcel Number or legal description shown on tax statement:
P�, sw�. �/•.3 -9 9104 -�.�
If buying on contract: Owners name 0- simple owner)
Contract recorded in Recorders Office - Record
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
dillp certify the above statement is true, correct and complete.
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. _
Residential Improvements
Other Improvements
�ing
AUDIT�� rage
Total
rovements - Line (6) plus (7) equals (8)
certify the above is true. correct. and complete.
Assessor
(4) Sy
(5)
(6) �/aa
(7) y990
(8) /03 90
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
,� _ /�V- 7i
Dale
Approved: 1 • '�_'- Date: _
- FOR ASSESSOR'S
USE ONLY -
True Cash
Land not exceeding 1
(oi
a e Im edia
Value
surrounding residential
irktprovent
(1)
Other Land
( r 2 3 19t9
(2) �$Q
Total Land
" "'"
(3) / lr D 7 0
Residential Improvements
Other Improvements
�ing
AUDIT�� rage
Total
rovements - Line (6) plus (7) equals (8)
certify the above is true. correct. and complete.
Assessor
(4) Sy
(5)
(6) �/aa
(7) y990
(8) /03 90
- ACTION BY AUDITOR -
Assessed Homestead
Valuation Valuation
,� _ /�V- 7i
Dale
Approved: 1 • '�_'- Date: _