HomeMy WebLinkAboutHomestead_CunninghamSTATE FORM 53N 00MIB) ' T SLWRFOXM $1A
APP"'ED BY STATE BMRn OF Accov FS. MN P0.F_SCRIBcu BY E DEPARTME\'T OF IAGSI. or) E %MEA F &NCE le 61.1 -UAA
Gibson County Auditor INI PORTANT I / HOMESTEAD PROPERINOWNERS
101 N. Main Street Individuals and marred couples are Ibmited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial, there is more incentive than net for homestead fraud. Homestead fraud causes higher tax bills for all; therefore,
HEA 1344 -2009 requires taxpayers wtto recent the homestead standard deduction to verify that they are eligible to receive the
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FILED benefit and to information additional identifying information necessary to sslow county authorized county o bcntt The or homestead
Slings. This intormation will be kept confidrntial and can onN, be amassed by authorized county officials. The Department of
Local Grnemment Finance will use this information to create tools that will help county officials eliminate homestead fraud
PROPERTY PART i: 1' 1
APR 7 2011 Taxpayer Name Location Address
C rr Cunningham, Emile¢ K
6793 W STONEBEAD DR
GIBSON COUNTY AUDITOR OWENSVILLE IN 47665
5994
Emilee- K.Cunningham . _ __ __ _ _ _
6793 W Slonebead Dr
OWENSVILLE IN 47665 -8715
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State Parcel Number
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Legal Description
26- 17 -01- 400 - 004.425 -021 / NORTH HILLS EST SEC C 4
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.
0....a I I First
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CA 1'2:1'A.XPA)'ERINFORNIAI'10,Nl-
Middle
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Mailing Address (number and street, city. state, and ZIP code) ;Same as property address
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Social Security Number (last 5 digits)
Driver's License/State ID Number (last 5 digits)
Spouse First
Middle Last
Mailing Address (Number and street, city, state, and ZIP code) F-1 Same as property address
Social Security Number (last 5 digits) Drivels LicenseJSunc ID Number (last 5 digits) Other (please specify in Part 4 below)
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PART3: CERTIFICATION
Each undersigned certifies, under penalty of perjury, that the above and foregoing information is We 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 Sigmmm
Date
Telephone
Signora
4: ADDITIONAII-
Date
INFOWNIATION
Telephone
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PART