Homestead_ZiebellI 1
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Gibson County Auditor
701 N Main
PRINCETON IN 47670
1362
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1RFwiURA fORY �S:n
InJi��iJuaL'+ anJ marrinl coupk� are limiud w oce Iromeuead �a`MaN �iu.uon. A� Ne rereipt ol �his dcduction becomcs
morc beneicial, thtte i� more fricentne tlun r�rr for homnieacl frauJ. HonxsreaJ faud causes hi�her o� bills tor all: chertrore.
HEA Gu-?CU9 requim ucpascn vho �eeci.e thc hanes�eaJ siandard dcituction m.erily that tAey are elieide �o recene �he
benefi� ani m pnridc additional iJentiipn_ informaaon necrsvey io allw� counry gm�rmmrn� ro Nner mmitur Iwmaxad
nlin�. This inlmmation will M Aery mnfidential and can onlc h accciuJ M1y smhorized rounh' o�Ftia6.'Ihr Ikpannxm of
Lucul Gov<mmem Pinance ��ill ¢.c this iniortnation to vrcau 0.wls ihat x'ill h;lp cuunty ulTxial> diminau humcstcaJ frauJ.
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Taipaver Name Prnperh� Address
Ziebell, Christopher M
Christopher M Ziebell
1004 S Washington
PRINCETON IN 47670-2716
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IOOi S ��'ashington
1'rinceion IN i7670
State Parcel NumAer Lesal Description
7( 26-12-17-101-002.912-028 019-02912-00 KUNKEL ADD 8
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.
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Owner I First Middl< Las�
' Z�'e
�. >� /e /`1 �`ctiGe 2 /l
' mg Address (nu end so-ceL city, imte, and ZIP codc) �.Semc as p(operty edd�s
Social Sccurity Numba (las� 5 dieiu) Dm�er's Licrnx/Stam ID Nmnbrr (la.t 5 di;iis) O�hcr (pleau spaiF in Pan 4��ow�)
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SpoLL;e First Middlc Lan
Mailinc AJdress (Number and slree4 dn�, >�a1e, and ZIP coJe) � Same az pmpeny addaa,
$ocial $ecurirv Number (lact 5 digiLS) Drivcrs Liccnse/Staec ID Numbcr Qat 5 dicitsl Otha (plcasc spccify in Part: bclow)
see
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Each undersigned certifies, under penalry of perjury, [hat the abo��e and foregoing information is true and correct and that he or she is eligible to
receive ihe homesiead siandard deduction on this property. Each undersiened al,o unders�ands tha�, by claiming additional homestead deductions
unlau-fully, he or she may be liable for back taKes and subs�antial 6nancial penalties.
Ouner I SigneWrc Ue1e 1'elephonc
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Spou,e Sip�a[ur � Uare Telcphonc /
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