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Homestead_Hopkins� cu�ir� ����� P��?n Ta�c �rr w� rr� 9�� . • c-^ gqCK FQi2 �ILltni IPISiRL�TIONS : ' '. ..=c , • �,� �+-,.3.�=y tYgt an tk+� � day � �-�::z� i,o- �� ° . Q� e.i .� �i�+�- tt= ioLlnwir9 ds=_be3 r=�1. - I.���c�+=)' � p�,� �-�na.i +er� er ��iM:;� . �?'�:Ili 9_ � Zr Y}?) v�p�� lr T3X �^'._..11t 75 2�.°�''°_Dj� �Y1TS? ., : � � i� kfiich a Yc�r°.>-t�3 I, 6.�) ❑ a.r.si : ' � �O�D �d g I 4 `°.: ; 1 �� mr,r'�n4 imd� �""'"�"` • � r3w_ a bery.�al iixt.�°°�-t in :i= �,�.�aws ` � i /� S�_ mi:'' :'y /+-'�o K / � Zts.s'�a �,-:y ��p'-.ics1. in �'• ,..� �.. • �..y �c:�, Zbc.:s'ri�) : i..?1T-Q ��=1_�• �1` � • r, � C21 uX �3L�'�: oS 1�..1 ds= .-:i..n �i�c+.. ,r "` B �==._� ;:� � I I � � � �A-n�o Y ��o �e �� S.c �EC. ' � ✓ �� -�.• poai•_-s r� (-°° si .r-�1_ oo.�r_*) ?: i-�;_ira ci ��'L---- -• - P�-d tb. ��° �,-�a_-` r�r�� in m-.�c�' s G=�' � .__p°�� a2`_: �1� �-rO- u3t � ar �.'r� 1�r3, n� ---�'� Tc 3I1V LGi��1.Q.1 OS t'1`° S°�51=� � s~15°� 19 .^.�'.'�QL:'C_° 2S�['_� C�� � L'S9 27� �3..r'1CI1 C� �.-�'-r�Y `----*"-rs tnat s�.z-- . . �na �j;S,SLy L�7�1Z0'� ,CO -`^•••�•o � � • yyy1231 p,+TS QL 'S !7[IV1T:Q 2�'-3� ^�'_T.l�°� `��� � ��� �L..ki=e j,=1 4.."11C�1 7.7111 . • ' 'r _ . �tQ+wnt is trL'°� C�7S�' �d �?1_te. I Y�-ny c�'.up ti= a�ov° s` .. .' ' � mL�:`V � FVv7^.^s'1D =�.,rzs3�s� a�=� ��--- . - _ ia�-,� a c�'-,sa� th=t �oz.zc� t= is � nay tt� ' n^jci�uu31 e�,tt�s o�..^�s az is iuY�sr3 inr��-�t in .ti� t�y�t. ., �� ti= r-::,a.,..e� cr h� a ber�=i�a1 . �Y: . - � �LSs:.SSOR�S US°_ OP.ZY - � Is.;.'1 rDt �.,�°-°'=--' `�� 1 ( ^C..�'�°) y—""°- ]i.�'•'°n---�T�1' . . � ; �� =�=1 i�'°�"s s,�rc�.-.-i'� . C-.s_- 3.�3 : ZL-tal i�'3 Dj��1ii� �'VV3i1�1�S U.+��^� G.�=--a3s Z',1= �' ` ' Va1•-° �p-- • �1% �CJ60 � (2) =; t3) — (4) — ��) Tcy1 ('01 .Z �_���. . . (7) � c=' = Z-�-�`S . � ' Ir.= av�'-s - Lin_ !6) � � (7) �=-}s Ig) (8) � Z.:r�,:,� c.�.�.-�-, i� fi1+� abctv° is �=r �°� ���1°�-' — !'�1°3� - ACiInN BY 4lIDITnR - L`3t_: C Assssai I'.a^°-s� p� ,�=;.-„ vzlua=: � G a �o e 1 %�%////%%/; ������� ��� ������ �� ����������� �������! '�i3oo .�3�0 �������%/ ���������/� � EaL STATEFOR.NSl369(RJ/8.1o) � TRFASURERFOR.\tT5-IA APPRO\'FD BY SIA7E BOARD OF ACCOII\T5, :009 PRESCRBED BY i}IE OEPARTME\7 OF LOCAL GO\'ER.\1fE�T Fl�T.�CE IC6-I.1"-A.1 ' / � , / / . t 1 � , � � , � • ��...1�'(.: 5'. a'n' Individuals and married couples are limited to one homestead standard deduction. As the receipt of this �aeduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud •causes higher tax bills for all; thcrefore, HEA 1344-2009 requires taxpayers «�ho recei�•e thi� homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identif��ing information necessary to allow county government to better mouitor homestead 5lings. This information will be kept confidential and can only be accessed by authorized county officials. The Department of Local Go��ernmeot Ffnance will use this informatioo to create tools that «�ill help count}• officials eliminate homestead fraud. Taiox�er Sam< Jetirey Joe / loyce Ann Hopkins Complete and retum to: �c�'�`e,�y Mai�ina nmress (n�mear ara sVeet � Sotial Sxvnry NumEar (last 5 tliqlu �� � � Spouse ��c� $arial Searity N�anOer (last 5 01{ � � stn� � OUrer (olease apardy in PM a bebw) Each undersigned ceriifies, under penalty of perjury, that the above and foregoing intortnation is true and wrrect and that he or she is eligible to receive the homestead standard deduction on this property. Each undersigned also understands that, by claiming additional homesiead deductior,s unlawfulty, he or she may be liable for 6ack tazes and substantial financial penalties. �r.i�s���re o�a rei� �'�� GIBSON COUNTY