HomeMy WebLinkAboutHomestead_Smith (28)Gibson County Auditor
101 N Main
PRINCETON IN 47670
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InJiviJual> anJ tnuriN <ouples arc limiied to ore homewead �andaN �4dvaion. As �hr �mcip� of �his dNunian becomes
more benenciaL �hne i. morc incrntnx dun ever for M1omestead fnud IlomesttaJ :raud causes hi�her ta� bills (or all; themfae.
HEA 13�13-�IN19 requim mipa�en who receire the hanes�mJ standard JeAuniun to raify tha� �hey are elteiNe w mcei.c �M1e
benefit an1 m pnr�iJe a�klitiunal identiirfrc: inform�tion riecr..'vey ro allw� countr gmxmmrnt to Y.IIer'monfror homesieaA
filin�.�.'Ihis inlnrmaiion x�ill he Aa�v crntiCauinl and an only fc aare: �n1 M1r auilwrized aounty oflivialt �TM1e Ikpannrcm of
Local Gmcmmcm Fifu�rcc �vill u.c this intomw�ion to cr<atr wuis �hat �vill hdp cv�mn� oFtinaU climiws hom<sicad Iraud.
_ Taioa�•er Name Prooert�� Address
Smith, 3�39 S���'%� �1!'
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Prinreton IN 47670
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3010 S Old US Hwy 41
PrincetonlN 47670-9206
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State Parcel Number Leeal Descrip�ion
2612-32-200-001.806-027 ��18otio0 aT NW rJE 32 21019.91 AC
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Social Securin� Number (lazt 5 di¢iGS) Drivers LicencHSUte ID N�unber (last 5 digits) O[her (pleace specify in Part 4 below)
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Fach undersiened certifies, under penalty of pequry, that the above and foregoing infortnation is we and cotrzct and that he or she �s elieible to
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