HomeMy WebLinkAboutHomestead_Breen •
SLATE FOAM!LW.iR_/w.v1 TRF-W:tEll fORM T}IA
.APIIOWEO MY STATE w1 Dof ACCOOTS.!nv PRISCRIZED BY THE DEPAITEVTOE UXAL GOVERNMENT FINANCE Ie<Lt-r-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 s andard deduction.As the receipt of this deduction becomes
— more beneficial,there is more incentive than ner for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HEA 344--2009 requires taxpayers who receive the homestead standard deduction to verily that they arc eligible to rrcene the
benefit and to provide additional identifying informamon necessary to allow county government to better monitor homestead
tilint5s.This information will be kept confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will use this information to create with that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Breen, Robert S II/Pamela J
-- Old 11S 41
PATOKA IN 47666
9
Robert S II/Pamela J Breen
6126 N Old US Hwy 41 State Parcel Number Legal Description
HAZLETON IN 47640-9220
26-01-12-200-002.406-018 Pt NE 12-1-11 1 Ac
Itlnllntltllu nntl iIiI�n�ultl
PART 2:TAXPAYER INFORMATION
••n• I First Middle Last it"fso- - \e
`- g Address(number ndstrea,city,sate,-and ZiP code)— —_— __ _ _ .►� 5amc as prepem address__ _ _ __
\a\c)t \ O\a_ Lb5 \-\k ;u N � ,��t��.���\ K- eel (14cm
P715; First Middle Last
tl \ci Pe
Mailing Address(Number and street city,state,and ZIP code) Same as property address
K_o 41 Oc b 4J u L\l N -7E_NC.
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 1 Signature Date
PART 4:ADDITIONAL INFORMATION
• 2
r
Signature of Auditor Date sped
g Win I•. n_ SYI