Homestead_Hurst AarE FOtM .41.1.M ThEASUM HMI TSIA
APPROVED
IMPORTANT NOTICE TO DEPARTKENT OF LOCAL
OPERTYL~OWNERS�
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and maaied couple.are limited to one homestead standard 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 1344-2009 requires taxpayers who receive the homestead standard deduction to serifs that they are eligible to retest the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing•..This information will he kept confidential and can only be accessed by authorized county officials.The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer
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Hwy 41 North
Hazleton IN 47640
128
enneth/ Hurst Jr.
38 W 800 N
Hazleton IN 47640-9213 State Parcel Number Legal Description
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PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
{{ enfle,Sh 1-1 r5S Sc .
-g Address(bumbtx iuld street;city;state,and ZiP code) —- - - — —•— — -gl-Same as property add.:s— — — — - —
SBw- CIoo n - Nai \e}on , 1r 4rui'4o
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