HomeMy WebLinkAboutHomestead_Cornwell STATE FORM 53 .IRn WO mREASURER PORM SIA
APPRIVW BY STATE aSARonr..f ottSTSSxN PRISCAIBtD BY 11W OEPARTMLYIOF LOCAL GOVERNMENT MANCE IC6-1.1-ra1
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 ma for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1 344-2080 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 kept confidential and can only he accessed by authorized county officials.The nepannsent 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
Etal
75 E \J�/
Ilazleton IN 47640 "w
Etal
C/O David Comwell
8312 N 75 E State Parcel Number Legal Description
Hazleton IN 47640-9231
Itltt'Itrrlr llrtt'tt'll ter ltlnttaltltl llltrrll tttllrrlrl ter 111 26-02-58-018-000.160-018 010-00160-OO PT MD 181-104.07 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Ai/el h! eaeNc✓ t�lC
g Address(numbefand street,city;state and ZIP code - — —.g.X3ameas property address - — - — — -
Spouse First Middle Last
Mailing Address(Number and sweet,city,state,and ZIP code) Sane as property address
73/x— AJ 7 S£ pag-t ./ZN tin/ II 76 9 d
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
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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.
Owner I Signature / Date