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SIMI.MVO S1ktE_r YMI MEASURER PORN CIA
' APram'En BYAVt MNPUaf?MK.bS.Zn. PAr TWBm BY THE BEPAETIEYrti LOCAL GIS2RVMrAl FINANCE IC 6-1.1_4.1 •
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eter for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
IP HEA 1344-2009 requires taxpayers who receise 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 h-accessed by authorized county officials.The Deponent of
Local Government Finance will use this information to create tools thai will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Waller, Marc WNirginia E
1822 Cottonwood DR
Princeton IN 47670
2289
Marc W Waller
1822 Cottonwood DR State Parcel Number Leal Description
Princeton IN 47670-3328
26-12-06-204-002.839-0 006-02839-00 NORTHBROOK HILLS
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PHASE 1164
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PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
.mg Address(number and strav,-citycstate,and ZIP code)
Spouse First Middle Last
/ Wa Ue
V,-,e�riJ;a L-"L0.1 �l2 K
Mailing Address(Number and street city,state,and ZIP code) Same as property address
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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
��� . CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
`� f Sqte Fwm 5473 (R4 / &00)
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INSTRUCTIONS: See reverse side (or filing instructions.
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I(We) � [� V V o A ,\�\� o s�_� .`� {T �' . � s� . � a- � certify Ihat on the tst day of March, 20_
I(We) occupied as our principal pla e of re' ence the tollowing descnbed real prope for whirh a Homestead Property Tac Credit is hereby daimed:
�I (We) owned ❑ Are buying under contrad
Have a benefidal interest in the entity that is liable for the properry taxes on the property and that owns the property or is buying under a contrad.
II Ouyvg on wniract, Fee Svnple ownefs name
Recordefs oKice whe2 contraG is recordetl
Counry
Parcel number
7wvnship
LegaldesCription
township)
Record number � Page
- �a_� �� rom,��;�,
o1lne residential swcture or the lane rrot exceetling rne (1) acre Ihat immediatey swrounds tnat shuUure is used to produce inmme, describe Ue use aM portim
y uulizetl to protluce income. �°Lr� m�: . . �
���.-�a -� �_a����-g3� _ o�
I hereby certify the above statements are We, corred and complete.
(numbesandstreeG dty, state, Z�Pcade)
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