Homestead_Scott MATE FORM!_17•4 I B-I YAn TRF4Sna11R PORN.-IA
.ArPMA'ff BY SISIE B saorw VSYINTS.wv PAlYRIBFD BY 111E DEPARTMENT OF LOCAL IXNtLNMTNT FINANCE It* I.I-r4.1
Gibson l;Main ounty Auditor -
11 IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101
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 ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
do HEA 1344--2009 requires tarpapers who receive the homestead standard deduction to verily that they are eligible to receive the
benefit audio provide additional identifying information necessary to allow county government to better monitor homestead
filings.This infnrmatinn will be kept confidential and can only be accessed by:mthorived county officials.The Depanntem of
Local Government Finance will use this information to cream tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Scott, Brenda Sue G
RI Box 263 (�V p W
Oakland City IN 47660�1�b/ )).(
Brenda Brenda Sue Scott
\°
10900E Base Rd State Parcel Number Legal Description
Oakland City IN 47660-8468
26-13-12-100-000.926-006 003-00926-00 PT E NW 12-2-91 AC
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PART 2: TAXPAYER INFORMATION
Owner I First c Middle S Last
_ - I /_ I• V . e �/ ./
e Address(numb-r trod street.city,state,and ZIP c ). — - - ❑ Same as property Iddmss - — - - - - - . — - -
j09o/0 .te a Se �aJ/andi Cr`y XH y7 1a .
Spouse First - Middle Last
/ /
Mailing Address(Number and street,city.state,and ZIP code) El Same as prapeny address
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Each undersigned certifies,under penalty of perjury,that the above and foregoing information is hue 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
unlaufidly,he or she may be liable for back taxes and substantial financial penalties.
Owner 1 Si tore Date
IP -.
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