Homestead_Sims STATE FORM M 00/ERR R - '
515 TREASURER FOnt TS-IA
APPROVED BY SLATE BWRn OF ACCOUNTS 2009 PRESCRIBED DRIVE DFPARTMETOF LOGY.GOVERMENT FINANCE IC 6.1.1221.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
' Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher lax bills for all;therefore,
c:/. 1 HEA 1344-2009 requires taxpayers Mtto receive 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
FILED filings.This information will be kept 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 homestead fraud.
APR 2 5 2011 PART 1: PROPERTY INFORMATION
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C fA -- Taxpayer Name Location Address
fV� Sims, Twila F
_ GIBSON COUNTY AUDITOR 403 S VINE
-
I-AUBSTADT IN 47639
11253
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Twila F Sims 11111 lil �lll�llll� hull ll oiii l�lil �l lll�ll�ll_lll�lll l�ll�ll00ll�llQllll�l��ll� o
403 South Vine
Haubstadt IN 47639-8152
111111111111111111111111111111"111111111111111111111111111111W State Parcel Number Legal Description
26-23-06-101-000.350-009/PT W 6-4-10.35 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.
-.s v . • 1'
0. r- - First Middle Last—'
�x()110- Tcill-1 Jr'imS
Mailing Address(number and street,city,state,and ZIP code) Same as property address
463 S. Vine S1 bSItl.dt IN 4-7& 39
Spouse First Middle Last
_A_f_/A _
Mailing'Address(Number.and street,city,state,and ZIP code) ❑ Same as property address
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Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
I I , I' I - I I I' i 1 sine
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 1 Signature Date
PART 4: ADDITIONAL INFORMATION