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• SIAIE FORM 53 IR21 .Oo TREMBLER EOM 31A
APPROVED BY STATEMIARD Or ACCOUNTS.inn PtUYTIBFU BY THE DEPARTh TOF LOCAL GOVERNMENT FINANCE M41.13i4.I
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
more beneficial,there is more incentive than ever 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 recene the
benefit and to provide additional identifying information necessary to allow' county government to better monitor homestead
filings.This information will be Lep1 confidential and can only he accessed by authorized county officials.The Department 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
Frye, Robert/Mary L
402 Mill
Patoka IN 47666
27
Robert/Mary L Frye
P O Box 273 State Parcel Number Legal Description
Patoka IN 47666-0273
1111111111111111111111111111 11rrr1Er11t1r rr 1Il11r1r1rr1 26-04-25-103-000.128-020 018-00128-00 BARNES ENLG 82PT/83PT
X
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
•mg Address(number and street.city,state 16/1d ZIP code) ❑ Same as property address '
41/7_1
Spouse First Middle Last
MARY 1RYe-
Mailing Address(Number and street,city,state,and ZIP code) •Same as property address
qu) uJ M1-,i11/4sr PO. aoy)'73 Fri roKff flu fl7tI-
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
3 PART 4:ADDITIONAL INFORMATION