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M./ROVED BY'fit BOARDni.YrTtt\'Ll9x P✓9[AIBFD BY nil BEPAAh T(KLOcAL novttYMFNT FINANCE IC 6-1.1-raI
Gibson County Auditor
101 NMain IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead aandanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1344-31109 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive die
benefit and to provide additional identifying information necessary to allow county go ernment to better monitor homestead
filing.This information will he kept confidential and can only be accessed by authorized county officials The Department of
• Local Government Finance will use this information to create toots that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
• Taxpayer Name Property Address
Elliott, Margaret Ann Trust Etal
Hazleton IN 47640
617 CEA56 D OM
Margaret Ann Elliott Trust �"
2990 E SR 56 T/,50/09 State Parcel Number Legal Description
Hazleton IN 47640
26-05-57-083-000.179-017 009-00179-00 PT MD 83 1-10 13 AC
Dw,.f6R5: GokDO,.I CAR)/ ELLI art
CA5540DRA ELI-1 oTt l3u1)0era (1) �(
S7-ME5 Cva-4,.IEQ ELLio;T
DAJID LA12.NE1 6 Ll-I Di i
PART 2:TAXPAYER INFORMATION
Owner I 6 VAL. 0 First Middle Last
S66 Ar od6 9k ..SEC BE.Low 6 )
!Address(number and street,city.state,and ZIP code) RES QEj� � — - ---. I itme as property aside us -— - - -
?7c EA5r 5¢AIE FoAD St, 1 FlAZ1J o,, , 'NJ 476 -0
Spouse N/A First Middle Last
T)Ir WILL ?kouII IF Ir 151JeeDE1)
Mailing Address(Number and street city,stale,and ZIP code) []Same as property address
Social Security Numbtt(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
PART 3: CERTIFICATION •
Each undersigned certifies,under penalty of perjuy.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 DDate Telephone
G 4-
Spouse Signature Date Telephone 1/ l
PART 4:ADDITIONAL INFORMATION
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