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.APP EI)BY STaE OOVROOFMTTRP9i•nv PArt1PJnDBY 111E DFPMT1LYTO FLhTL CA\'cRNNRII FfAN(EWH.1-L'-A.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than net for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the
• benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only to accessed hY authorized county officials.The Depanmem of
Local Govenlment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
K Braselton, Robert J
303 N Tenth S'1'
Princeton IN 47670
1606
Robed J ton
308 N Tenth nth ST
Princeton IN 47670-1130 State Parcel Number Legal Description
ltlullntltllt tlntill 111111 tl tllt��ur �ur u�nr��t� 726-11-12-203-003.470-028 019-03470-00 9191A 131/132
APR 1 6 [Uw
GIBSON AUDITOR
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
'14°4'1 geAs eLTaN
e ACdi¢s fnuinber anWstrcet:cityT state:and ZiP code)_—_— _ __ _ __ __ - _J Saone aspruperty a:dr:as. __- -
3° 8 Al- Teti*4 T. 'Zd',''VC FTdfs..)
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (Last 5 digits) Other(please specify in Pan 4 below)
sme
PART 3:CERTIFICATION
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
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date
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