Homestead_Fuhs (5) %LUf IUa"S'wi0.V 4b1 J OACtRiA tORM IStA
APPROVED RI'21IE EMIROOP.V.rU NIC Yig rtUSCRIILDRV tilED FARIMI 1OE LOCkLCOvbrstGT IL<4YElr 6:.1-r-&i
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD-PROPERTY OWNERS
101 N.Main Street Individuals and married couples ate limited to one homestead sumlud deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial-there is more Met-nibs:than not for homestead fraud.Homestead fraud causes higher In bills for all:therefore.
FILED II EA 1344-2109 requires taspn wio receive the homestead standard deduction to verify that they are eligible to teeth the
(• benefit and to p inkie additional al i receive dentifying infi rm:Mon necessary Co allow county government to better monitor homestead
filings.This information will be kepi confidential and can only be accessed by authorized county officials.The Depanmen of
local Gocercrsenm Finance will use this information to create tools that "ill help county officials eliminate homestead fraud.
- APR 1. 8 2012 PART I:PROPERTY INFORMATION .
Taxpayer Name Location Address
C.3.1Y\--tC-J.N Fuhs, Randall ElCynthia S ,
6049 E SR 168
GIBSON COUNTY AUDITOR FORT BRANCH IN 47648
8739
•
Randall E/Cynthia S Fuhs II IIIIIIIIIIIIIIII III 011 llOIIIIIQII Ill II 11=III III�I:III 1111=011-II III II II
6049 E SR 168
--- —Fort BranchIN 47648 —" - - — - -
State Parcel Number Legal Description
26-20=18=400-001.476-001- —PT-NW SE 1839.1.50 AC - - -
0
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.
1 I •I • • `
_r I First Middle - - Last
RQYCCQa.LL Fu.k s
Mailing Address(number and street.city.stare and ZIP code) lRSame as property address
(POUR E SR /6s
Spouse First Middle! Last —
Mailin,LAddress(Number and sweet.city.state.and ZIP code) 4KI Same as progeny address
" + - . - 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
'
CLAIM FIR PUEFEJ FFEFc 7Y TAX GEIT FOR is AR
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