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Tilt FORM MX ILf,,e1 mmEANRFA FORM 73-1A
• APPROVED BY STATE BOARD Of M'rT*'N1 R.9"n PRESCRIBED BY Pit 0FPART'1ENTOF LOCAL COVERNMFAT FD&NCE IC 6-1.1-r4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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 e'er for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
HEA 1344-2004 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only he accessed by authorized county officials.The Department 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
Bone, Karen
Po Box 285
Somerville IN 47683
685
Karen Bone
P O Box 285 State Parcel Number Legal Description
SOMERVILLE IN 47683-0285
26-20-02-403-00a014-003 020-00014-00 VANADA ENLG
1111111111111111111111111111 I II I u Ir It I n I u I t I r t I u II 17118/1 9f2012 2123/24Y25
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PART 2:TAXPAYER INFORMATION
Owner 1 First p Middle n O�� Last
Koren I\ eh211/J�l
,g Address(number and itrec.city,state,and ZIP code) - -
- -- -a Sartre as property addrzsa — - ----—
Pio; Box Z5 Smeruille,zN q%83
Spouse First Middle Last
None —
Mailing Address(Number and street,city,state,and ZIP code) ❑Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
c.- _
Slaw
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
ignature Date Telephone
(
PART 4:ADDITIONAL INFORMATION
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