Homestead_Frederick (5)�
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Gibson County Auditor
101 N Main
PRINCETON IN 47670
473
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InJiaiduaLt and rtu;riN couplr.: are limi�ed �o oce Irome�eaJ ya�N Aexlu:�ion. As thc receipt ol ihi.. deduc[ion Mcom�
mure beneficial, there i� morc incentn�e tlun ecrr for homrieaJ frdud. Ilomntead fraud causes higher tax bills for all: therefore.
HEA 13i7-20Q9 «quim taxpaven v:ho receire the hanestead <�yndard JNuciion m rerify that they are <IieiNe w recene the
benefi� an1 ro p`m�ide additiunal idrntiiyin_ inform�twn necrs�an� ro allw' counry gmemment to Nua monieor hoeresemf
filin�-. This infomutinn will M Aept mnlldential anA r.m only (n: acm>uJ by amhorized mumy nRcials.'I'he Ihpanment nf
l.ceal Gwermnem Fiiu�rce will uu Ihis mio�mmion m crca:c 0.ds Jut o'ill h,-p cqmn' offiNa6 dimi�m hom<sicaJ fiauJ.
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T•rxpacer Name Prnpertc Address
Frederick, Charles M/Sandra B
1119 CartoIIAVE
1'rinceton W 47670
Charles M Frederick
1119 Carol Ave State Parcel NumAer Leeal Description
PRINCETON IN 47670-2805
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This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
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�-sam� az Pmpeny aaares.
in Pan 4 below�)
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undersigned cerrifies, under penalry of pepury, that the above and foregoing infortnation is we and comct and that he or she is elfgible to
:e the homestead standard deduciion on this property. Each undersigned also understands that, by claiming addiiional homestead deductions