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AfrwA'ED PT MATE IXNFDOFMCOUNTC.a" PAFSNBED BY➢IE DEPMTxwr OF LIXTE GOVERNMENT FINANCE IC 4.1.1-22-1.1
Gibson County Auditor HOMESTEAD PROPERTY OWNERS IMPORTANT NOTICE TO HOME
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
r^ more beneficial,there is more incentive than e'er fur homestead fraud.homestead fraud causes higher tax bills for all:therefore.
• HEA 13442009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.Ibis information will he kept confidential and can only be accessed by authorized county officials The Depanntent 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 -- - Lt ress
Blaize,Terry UKimberly Y
_ RI Box 252a
Hazleton IN 47640
979
Terry L Blaine
7580 N 450 E State Parcel Number Legal Description
Hazleton IN 47640-9361
IIIIIIItttIllltttlttllltttlEltlttllttll Illttl111 III 26-05-57-124-000.035-017 009-0003C-1 500 PT MD 1241-102.51 AC
X
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
TZAR
ZAR i, QLAIZE
ig Address(mvn.i end sweet,city state,and ZIP code) - - - 0 Same as proper;add-ess -
7S $0 N 4V F //912ETo4/ l)U 4'76f/O
Spouse First Middle last
VADlytoe 9-1'3 'I —E�QI 2
Mailing Address(Number and street,city,state,and ZIP code) n Same as property address
—15?0 N) 45D L= ■4 AzI CTOt3 , 10 `1-7&yp
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
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