Homestead_Gwaltney (2) STAVE FORM!'KIR_/541.1 VRrASURIA FORM 11A
■PIXT'ED BY St ATE MW)O.AIYTII]TS 4tr PRr9RIDm BY fIr DEPARTxwr6 LOCAL C-0V[RAMTh FMANE IC 6-1.1-1:-4.1
Gibson County Auditor
101 N Main IMPORTANT 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 y
more beneficial.there is more incentive than ner for homestead fraud homestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2009 requires taxpayers who 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
filings.This information will be Lryu confidential and can only he accessed by authorized county officials The Depanntent of
Local Government Finance mill use this information to create tools that will help county officials eliminate homestead :laud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Combs, W Earl Life Est& D Jean
Gwaltney
403 W Emerson SI'
Princeton IN 47670
2500
D Jean Gwaltney
403 W Emerson State Parcel Number Legal Description
PRINCETON IN 47670-1326
itiuiiruitlltriurill 11u11n t1t itfinii iinniii_ _
26-1_2-07-103J0_00.456-028 019-00456-00 BROWNLEE ENLG 3 PT/4PT
N
•
PART 2:TAXPAYER INFORMATION
Owner I First ` Middle (� ` \ Last
OA\ Y`GS JG 9NN LTW0. -4,- .N
-�g AJdrCSs(talmb:r and�ceet.city cage.and ZIP cad:) - Z.Some as prnpem address l _ _ _ _ _
1't0 S task -w.'e.,rsor Pr\V%vet th7 y'16'10
Spouse First Middle Last
7k-)/A
Mailing Address(Number and area oily,state,and ZIP code) 0 Same as property address
_Social Security.Numberllasr5.digits)_ Driver's License/State ID Number.(last.5.digits)_ _Other(please specify in Part 4 below) _
sae
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. Eac 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