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APPRM EDDY•141E1rwRD Of AM P:NTS.!aw PAEAAmm BY mE DEPAAINCeit OF LOCAL&VELNNETT FINANCE M.-IA-224.1
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 incenthr than ner for homestead fraud.Ilomestead fraud causes higher tax hills for all:therefore.
• HET 1344-2009 requires taxpayers who remise the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings, This information will he kept confidential and can only be accessed by authorized county officials.The Depanntent of
Local Government Finance will use this infomwtion to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Brogan, David P/Carrie J
Box 326
Somerville IN 47683
3254 âf rog ' nl `•
3d0 S Lincoln State Parcel Number Leal Description l/"
SOMERVILLE IN 47683 '
26-20-11-'202-000.332-003 020-00332-00 PT NE 17-3-9 1.33 AC
-, — —
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.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
�\)\6 1hfL _ Teo an
Spouse First Middle Last
enxc ;e JeaA ttagon
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as m address
5S9y s -ar∎uotn st- Re EX 3q1 SOwAerv\11e_ ZN (4-7( 0a-3
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
PART 4: ADDITIONAL INFORMATION ,,
40
Lesser of 1r2 Homestead
VNuabofl or 535.000 $
Signature of Auditor Date signed