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Homestead_Schmidt� � Gibson County Auditor 101 N Main PRINCETON IN 47670 SiAiE iflR]I!!MIP_) WI IIlANLLN H10.4.ZIn IndiviJuaL+ anJ ma;ried coupk� are limitnl ia onc hnmeycaJ yamiaN �Nducuon. As thc rmtip� of Ih•`s dcdunion bnome<_ merc beneficial, tlrrc is morc fncentne dun r�er (or hon�rcaJ Gaud. Homc�-.ead flaud causes hi�her tn ,'�illi Im all: thereiar<. HEA li�l-i-71N19 requvn uxpacen who receire Ihc hanestmd smndard dNuction to verily tfu� �hey are �IiciNe to mcene �hr benefi� an1 ro prm�ide a�lAftional identiiyinc inWrmar�un �xrexvry to allw' eounn� ga'ernmrni ro Nurr �mmiror homenead filingc'Ihi� infomutinn will M Aryu cnnlidenlial unA enn nnly M. acrosud M1y aulhorimJ aoumy n(liciult. The IkTanmem of I_ucal Gummmem Finance ��ill u.c thu intormation ro areate hwis that x'ill h:ln munn' ufTttial. diminve IwmestcaJ haud. Tasnacer Name Schmidt, Gary / Terra A 2„6 �/% iV 350 � Gary / Te�ra A Schmid� -R�-Ba�3�l9'Aa Princeton�IN 47670-8952 ���n���n�i�\��n���ni�u�����ni�i�iu���ni���in���u�� I � � � e� G.r and snu:; :ity; swm: end�Z:P mCc) __' _ 7 � �t/ �.s O � ,e ��vicez`z �r (lan 3 die��s) Ikiveri Licenx/Stam ID Nmnber (lasi 5 digiu) !_ H? �to� Princcton I State Parcel Number Leoal Des 2Cr12-03-400-001.737-027 oos-o1737-00 PT C-1 _..--�'I dG-///�i � l�l ( . .� gnme�spm;rm.nAdrecc_'_ " �-N �7�7v (pltau speci(v in Part 5 bclow) ��,�kf+- I N ti'�' ' e Address (Number and svtt4 ��}'. smte, und ZII' nxk) 7� "7 ii/, 350 � / �inicefon Sccurip• Numbc� (laa S digiu) Drivcfs Liccnsc/Statc ID Niunbcr Oazt 5 diciB) Othcr (plcasc ���i n�,'d � � s�,,,� � P���� �a� i �� � V Aa 3 2 10 11.62 AC undersi�med certifies, undzr penalty of �rjury•, that the aboce and foregoing infurmation is true and correct and that he or slie is eligible to �e the homestead standard deduaion on this property. Each undersigned also undersiands that, by claimin¢ additional home^tead deductions �fully, he or shz may be liable for back taxes and subsiantial financial penalties. ' � eS�//3//0 ��/�/i� (