Homestead_GoochGibson County Auditor
701 N. Main SUeet
Princeton, IN 47670
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APR 5 2011
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(�',��SON COUNTY AUDITOR
Percy Leon Gooch Jr Jr.
4266 W Old SR 65
Princeton IN 47670
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Individuals aad rtmmed cauplcc are Gmited m one homestod stsndard deductioa As �e rtreipt of thic deductian hecomes
morc bencficial, Iherc is more incrntive Ihan e�xr for homestcad Geud. Homestcad fnud cauus hi�cr lax bills for all; therefore,
HEA 1314-?009 rtquircs tacpa�ers win recenx thc homestwd sundazd deducuon [o �xrify chat fhey ere eligible to receive the
bcncfil and to pm�ide additional idrnufqing informalion necessary to allor- county gm�emmect to Settcr moni,nr homestead
filings.'fl�is mfortavan will bc kcpt confidenciai and can onN bc accessM by authorired wunro o�cials. The Uepvm�enc of
I.ocal Gwernment Fvunce will use this infortnation ro create tnols Ihat will helD county officals e:imi�te homestead frxud.
Taxpaver.Name
Gooch, Percy Leon Jr
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4266 W Oltl SR 65
PRINCETONIIl47670
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State Parcel Number Leqal Descriation
26-11-16-100-000.908-027�PTNW 16211 1273AC D-n
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This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the cou
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treasurer.
undersigned certifies, under penalty of perjury, that the�above and foregoing information is true and correct and that Ne or she is eligible to
+e the homestead standazd deduction on this properry. Each undersigned also understands that, by claiming additional �homestead deducrions
rfully, he or s6e may be liable for back ta�ces and substandal fmancial penalties. � ,
Si�ature
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