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- ACTION BY L1IiGR - ('y/ / ^(
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%P at IORM Oyu IV/we, MASUna K AM T3-IA
MPAn'EI)BY CISII YNRO/N drawers.run PtLSLRIBm BY TA DEPARTME4T(F L(RAL(aw[R.VMrsr ra:ASCE M I-1.1-Z24.1
Gibson County Auditor
101 N Main JMPORTANT 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 incentive than e'er for homestead fraud Homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to verify that they arc eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he krill confidential and can only be accessed by authorized county officials.The Depanndmt 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 Property Address
_ Ellis, Mark Alan/Martha Lynn
207 N Tennessee
Ilazleton IN 47610
145
Mark Alan/Martha Lynn Ellis
207 N Tennessee State Parcel Number Legal Description
Hazleton IN 47640-8835
26-02-49-101-000.121-019 014-00121-00 E ENLG 90191192/93
to ll tIr II toI o III fitI s I t I taI fir II rI tI r II tat I tar I I ta I t I
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
mfA:zy. ALq� F1 L( c
'Fedoras(number®Id street,city,state,and ZIP code) .,.r--/ - - - J� Same a property address
zQ ) /4. -c"'NESSEE ST j- ztaccor3 t7 `f7640
Spouse First Middle Last
M NP-) L= 1 / S
Mailing Address(Number and street,city,stale,and ZIP code) ®Same as property address
c)--02 • p/w-cssee- S .
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