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f STALE FORM:VAN ORE/4141 IRSASURLA TORN IS-IA
APPROVED RV AAE ROARO OF Mt 0 Tta,it M ?RGKRWED BA In1.DIPMIALl OF LOCALCOVFNStIST FL•lt(E le-LI-SAt
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS: '
101 N. Main Street Individuals and married couple' ale limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,there is more irccntise than ever for homestead fraud.homestead fraud causes higher tax bills for all:therefore,
40 PEA 1344-2004 requires taxpayers who receive the homestead standard deduction to serify that they are eligible to teethe the
benefit and to provide additional identifrin_ ir,ihnation necessary to allow county government s better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
Local Goverment Finance will use this information to crate tools that will help county officials eliminate homestead thud.
PART 1: PROPERTY INFORMATION
1001 S STORMONT ST
PRINCETON IN 47670
3827
IIII I0 i 001 I I till III 1110111111 IL 11010111101 L 11 011011010111 IMichael
11'II11I"II111IIIII1I1I'1I1I1'III111ll1l1tlll1l1ltt'I11I'Illl'I State Parcel Number Legal Description
26-12-18-202-002.897- i 279 PT/280
NOV 13 2012
This form MUST be returned to County Auc '�SFt dfFite DDI
f UTOR
Please do NOT send this form back with your tax payment to the county treasurer.
'
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
.�•_; , CLAIM FOR HOMESTEAD PROPERTY TAX