Homestead_Jines (10) •EVE,Otsfle•'Pr 1-eo 19r NlnA RAIN:3-IA
'MINED In 51-171 WARD MYVVenTc.UU.. WARMED BY till nrPMEN[.YT(f LOCAL c5WEtNMEATFINANCE IC 6-1.1-2:4I
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 ever for homestead fraud.I 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 reecho the
benefit and to provide additional idetstifvine information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials.'lie Depann,ent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Jines, Rita
Aaelint ae!3 _....-
Princeton IN 476/6.
2639
Rita Jines
406E Spruce St State Parcel Number Legal Description
PRINCETON IN 47670-1752
Ii IiiIIittltlltiIi.ills IIItt.ILI.Itt.I.111 ii..11...1.1.11 26-12-07-201-001.536-028 019-01536-00 NS LOT 5 PT R1
PART 2:TAXPAYER INFORMATION
Owner I x First Middle Last
,4� onne'He l��.'� \ ie, S
IIIg Addles>(jmber and so-cut;city:state,and ZIP code) - --- - • !. dnsc es property address
Ot� G . ��
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sow
---------"-- ---------- -_7---::-----------4----.-- .
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 properly. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owne I Signature Date 1 Date
ili
A
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
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I hereby ceAi(y the above Sla§tments are true. correct and carrple�.
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I hereby certify U�e above B hue. carect and SiBrense ot/msmwr Dam sig�ed
mrt�plele. .
Veifyinp adfan - Si�ehre d NMfiOOr UaOe signed
'_.r._r"+'•..:t.:,.'.:�:�.'.�`�'." _..�„.,..`��STANDARD�DEDLICTION'ALLOWJI!!CE �?-.:;.7 :..�.:F� ,..,.4.�;r,.�'"�..�"sc�..if'tix��`".`4
20 _ Pay 20 _
Lesser of 12 Ho�ad
Vduation w 535.000 s .
4
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