HomeMy WebLinkAboutHomestead_Cargal STATE FORM'35 alai.41.1 TREATUAER FORM;S-1A
APYRTEB By STATE BILMIDOF ACTrkiNTF.1vm PAESRIBED BY Mt DEPARTMENT OF LOCAL GOVaNMEIN7 FRSANCE IC 6-II"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
i- mote beneficial,there is more incentive than net-for homestead fraud.Homestead fraud causes higher tax hills for all;therefore.
• HEA 1343-2000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.Ibis information will be kept confidential and can only be accessed by authorized county officials_The t)epanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY L\FORMATION
Taxpayer Name Property Address
Cargal, Shirley N
207 Back ST
I'atoka IN 47666
515
Shirley N Cargal
P O BOX 279
Patoka IN 47666-0279 State Parcel Number Legal Description
I I I I I I I I I III III I I I I I I 26-04-24-303-000.275-020 018-00275-00 COL DIV OUTLOT 9 PT
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PART 2:TAXPAYER INFORMATION
Owner I First Middle ��� Last
II. �S� ; Rae y /UnO/h
•Ig Address tattnber and Sven.city,statq and ZiP code) - — --— ®'$tlmC as pmpariY uddre , - - -- --
ohTc%lSf Po xa`79 P4I & ;04/76,6o
Spouse First Middle Last
inn,eS L
Mailing Address(Number and street,city,state.and ZIP code) ❑ Same as property address
p. 0-pot (p 1 Li 'p 2 t N C e ?c)A. 1,i-w q70
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is we 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
unlaw fully,he or she may be liable for back taxes and substantial financial penalties.
n
Owner 1 Sit attire Date
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