Homestead_Memmer 7 i,
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APPROVED BY 3tArt BOARD OF Arry uNra.ANN FRrRNLm BY nu BEEARTAfNT of LOCAL raw[PT'NrTr FINANCE IC 4-1.1C-1.1
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 benebeial,there is more incentive than veer for homestead fraud.Homestead fraud causes higher tae bills for all:therefore.
® HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to rteebe 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 be accessed by authnrved canny officials.The Depanment of
Local Government Finance will use this information to create tails that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Memmer;-Michael A/Pamela S
K2 Hox 57
\ Princeton IN 47670
1379 15,0
Michael A Memmer \ //
PRINCETON root L OM,oZt4 State`Parcel Number Legal Description
PRINCETON IN 47670-8704
It Iltllttllrllttlttt illtttltt�titt tillttt der III Iltf ll tI 26-12-17-104-001.753-028 019-01753-00 PT NW 17-2-102.04 AC
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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.
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Mtenv a R�� . . MEM Ha-
tg Address(number and street.city,state,and ZIP code)
1 O\ 6 0cAD S1 M21IJ(!6 a1 _ u�u �o Smme as property address
Spouse First Middle i Last
Mailing Address(Number and street,ciy,state,and ZIP code) 10Same as property address
130 i .e Duo, Si iP(Zi+■D_ l u11.td
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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 Si ^C. Date
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III
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