Homestead_Smith (35) STATE FORM a 3M 12`I,WI tar.SU[PA FOAM TS-IA
APPRP'EOM'Mal_N RO OF ATIU]TS.in.. PRESRa[➢BY nir DEPARTMENT/IF LOCAL GOVERNMENT FINANCE KH.1-r-F.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 e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
411} HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reeehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept conldential and can only bc accessed by authorized county officials.The Depanment of
Local Government Finance mill uxe this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
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Taxpayer Name Property Address
Smith, Craig R/Jancey D Curry
427 N Hart
Princeton IN 47670
837
Craig R Smith/Jancey D Curry
427 N Hart State Parcel Number Legal Description
Princeton IN 47670-1538
V I I I I 1 1 I I I I I I I I I I I I l I I I I I I I I I I I I I I 1 1 I I I I I I I I I I dike!,
7(26-12-07-104-003.089-028 019-03089-00 OLD PLAN 90 PT
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2: TAXPAYER INFORMATION
Owns I First Middle Last
I C1 14:1_• ...S?>w .
®ng Address(number and street,city,stale,and ZIP code) E S ire as property address
11 2-1 Al 4A42T Sr -P2/.,rc.7yr✓ fS/ 47(01-O
Spouse First Middle Last
.A11/rF 1V\
�aW✓\ S ,Ci l/\
Mailing Address(Number d street,city,state,and ZIP code) Same as property address
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 Signature Date
.
4�ST•rF4 CLAIM FOR HOMESTEAD PROPERTY TAX
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