Homestead_Adams II MATE FORM"1V.0e/∎-PO FASR< FOAM 73-IA
.APPROVED By MAIL Wt&RO OF ACCOUNTS.21•4 PFJAIInuD ire T11F OFPAnfl Cs TOrItR'AL rawasimrt.T FY:A\'CE MVLt-L'J.I
f Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD'PROPERTY OWNERS
i( 101 NMain -
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the'receipt of this deduction becomes
I laiN more beneficial.there is more incentive than ever for homestead fraud I lontestead fraud causes higher tax bills for all:therefore.
HET 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
IIPbenefit and to provide additional identifying information nettsory to allow county government to better monitor homestead
filings.ibis information will he kepi confidential and can only he accessed by authorized county officials,The Department of
Local Goverment Finance will use this information to create wok that will help county officials eliminate homestead fraud. .
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Adams, Marvin H/Peggy J
— 205 Rock RD
Owcnsvdle IN 47665
6604
Marvin H/Peggy J Adams
205 Rock Rd State Parcel Number Legal Description
Owensville IN 47665-9380
1 I II III II I I I I till III I it II III II 26-18-07-101-000.001-022 017-00001-00 PT NW7-3-111.026 AC
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_ `. v :e PART 2.TAXPAYFR_INFORMATION `c Il
t. Owner I First Middle Last
rig Address(number and street,city,state,and ZIP code) — ———— -— - - - 0Same as proem address- — - — - —
£osC ?ocfci edob, a) EN6V/ //&T X/V 17d 3
/
Spouse First Middle Last
Pe-66? J. 40y-41s
Mailing Address(Number and street city.state,and ZIP code) ❑ Same as property address
D'S kOCA1 /co/ID, oweNSV/ LLE IN $7a5-
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 Stignature �/ Date
-tom.`-vx..t.t.. +.5- • + PART4:ADDITIONAL INFORMATION FY.a L: o34,,,•