Homestead_HaleyiliiE I,MII lH10. /Ye,, rRFA JUJ, mRMMIA
AYI'M *En by!,!IEYHRnnF 4Y.v.Ml. 1. FF 11UBM BY nit DFFMM OFLtXALr , Most Fa:A fEMr.l.l -E_A.I
Gibson County Auditor
101 N Main IMPORTANT. NOTICE , HOMESTEAD PROPERTY
PRINCETON IN 47670 Individuals and married couple, are limited to one homestead standard deduction. As the receipt of this deduction become,
more beneficial, there is more incenma real tyer for humestead fraud. I lomestead fraud causes higher tax bills for all; therefore.
®� HEA 1343 -2009 require. tnapawrs who receive the Inxnesteed uandwd deduction to verity that they are eligible to reccise the
benefit and to provide additiorul identifying information neccsin. to allow county werromem to better monitor homestead
tilitq-N. Ion, infomution will he Lqw "fidemial and can only be aceeised by authrovedl county nIliciak The DePartment of
I,eal Oovermnent Finance will use this information to create tocAs that will help county, otTicials eliminate homestead fraud.
PROPERTY PART 1: 1' /
Taxpaver Name Prnpertv Address
Haley, Keith
R2 no\ 233
Elberfeld IN 47613
8736
Keith Haley
7937 S 1000 E State Parcel Number Lesal Description
ELBERFELD IN 47613 -8410
III I Iloilo I I I I I I I I ill I I ill I 26 -20 -23 -100- 000.291 - 001 001- 00291 -00 PT E NW 23-3 -9 3.00 AC
to Ill Ill rant nnnnt ton ntt n D-8
X
Owner I First
PART 2: TAXPAVYR INFORMATION
Middle
/ Last
Ong Address (number and street, city; state, and ZIP code) Eotaffic os Pruperty od
i
Social
Middle
Last
Mailing Address (Number and street, city, slate. and ZIP code) ❑ Saute as Property address
Social Security Number (last 5 digits) Drivels License/Sune ID Number (last 5 digits) Other (please specify in Part 4 below)
` sex
PART 3: CERTIFIC ATION
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
unlau-fully, he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature
u i
[)are
Srouse Signature Date Telephone
PART 4: ( )
ADDIT IO ORMATION