Homestead_Shoultz •
•
TAM lOt■SW.R3/401 TR-ASuRLA 10 KM IS-IA
.P?t(IVED m'7A1E IV01R1OF ALGA NIS bon PFSA'PDtDt 11aOIP.ARTML,1OFL(c%LCOI}A]PSI rL\UCCH'b•'r-a.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD-PROPERTY OWNERS'
101 N.Main Street Individuals and married couples ale limited to one homestead standard deduction.As the receipt of this deduction become,
Princeton,IN 47670 more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore,
• IIIS1 1344-2009 requires taxpayer who receive the homestead standard deduction to verify that they am eligible to receive the
bnctif and to provide additional identifying inftvmmion necessary to allow county goverment to better monitor homestead
filing.This information will be kept confidential and can only be accessed by authorized county officials-The Departmem of
Local Goverment Finance will use this information to create tools that will help county official,climirute homestead fraud.
PART l:PROPERTY INFORMATION • . -
Taxpayer Name Location Address
Shoultz, George L
109E SPRING ST
0 0
PATOKA IN 47666
545
1111 0111101111111011111011 mum I JIlI1_I11110111.1010110011011.101011011
P O Box 235
Patoka IN 47666-0235
IIIIIIIIIIIIllll"III'II'I'II"Ilrltlllrllll'I'II"I1I11I'I1'llll State Parcel Number Legal Description
26-04-24-304-000.310-020 COL DIV 77 PT
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.
-�•
Spouse First Middle Last
LyCC y SHOW c72,
!failing Addles$(Number and stmt.city,state,and ZIP code) Raga=as property address 0
/o r SA;gOSr ROVa.3..r
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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.
PART 4:ADDITIONAL INFORMATION