Homestead_Benefiel ! SLOE FORM M!v•1R:,'.o, IYFASUREP FOAM:S-IA
.APPROVED LIT SISTE BOIXDOE Mx4YtS.ION PRIS'RIIIM BY fir DEPARTMENT OF LOCAL no ERNMLM FINANCE M 6-1.1-E}4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
7 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 eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1744-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to rrceise the
benefit and to provide additional identifying information necessary to allow county goverment to better monitor homestead
filing.Ibis information will be kepi confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate Ixsmeetead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
--- Benefal, David L/Sandra K
No Location Description
Oakland City IN 47660
4945
David L Benefial
a782,3e-S 1150E State Parcel Number Legal Description
OAKLAND CITY IN 47660
26-14-07-300-000.406-006 003-00406-00 PT SW SW 7-2815 AC
D-6 C-1
X
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PART 2:TAXPAYER INFORMATION
Ow tt 1 First Middle Last
Yi ci 1 �c)y a �' 4,1 1 e.,
•Iag Address(number and street,city.state,and ZIP code) - — -- Same as.projrcrt0y�addres/s`,-- —"— . _
Spouse First kick.. Middle t..a Last
x(02 V
Malibu.Address(Number and greet,city,state,and ZIP tale) Same as properly address
� X c5 • i a --0 E Q4l< C c.J , -44 7(,,(\d•
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 I Signature Date
-
OP'
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