Homestead_Cox (2) MATE FORM T3 W IC'YV+I TIVARIREA FORM 73-IA
APPlaWED BY STATE Wt■RO Of MTY1L'T4.qw PRISCRIBCD BY nil DFPARTWAT(FLQ'AL COVCANNIFTl FD:A4'E M•I.I-224.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple.are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneicial,there is more incentive than escr for homestead fraud.homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only be accessed by mnhori,ed county officials.The Ikpanment 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
_ Cox, Eric Boyd/ Rhonda Ann
RI Box 264A
Oakland City IN 47660
4282
Eric Boyd/Rhonda Ann Cox
11262E Base Rd State Parcel Number Legal Description
. Oakland City_IN_47660-8469
LLJLtIIIIIIIIIIIl I61IIIIl,IIIIl,I6IIuIIIIIIIIr16IFIl,II 2613-12-200.000:207 4006 w�oozo7-ooPTSENE12293:3024AC - -
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PART 2: TAXPAYER INFORMATION
Owner I � Ir / First $oy / Middle �rl / Last
C, Q L
•ag Address(number and street,city,state,and ZIP code) —
an - 04i-1e as property tdiircss - -- -- - - - -"- --
t12.62 Base 2d
•
Spouse First Middle Last
(�hoh da /f n� G ox
Mailing Address(Number and street,city,stale,and ZIP code) IE Same as property address
112_ 6 Z E Base- Rd - -- — — — — — — - -
Each undersigned certifies,under penalty of perjury,that the above and Foregoing information is true and correct and that he or she is eliuible 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 t axes and substantial financial penalties.I�tc
Owner 1 Signature ( C /
FORM HC 10 1979 To Be Filed in Duplicate