Homestead_Mathew+
1
Gibson County Auditor
101 N Main
PRINCETON IN 47670
2163
Marcus A Mathew
7063 W Short Lane
OWENSVILLE IN 47665
aui[ raxni.�w �� i..Mi
IAFASllIIFAPoRV 'SIA
IndiriJuaL, anJ martiN coupks are limimd io oce home�nJ �and:�N dtdunion. As the rcccip� o( �his deductan hromes
more brne5<ial. thae is morc incmme tlun e�er fer homrsrcad fraud. Homs�ead fiauJ causes hi�her tac bills (or all: ;hertfae.
HET G7-4-IfA9 rcquim �aapa�en who �eceiv< the hanestraJ <ta�dard dNunion m veritj Iha� [hey are eliciblc b mcenr the
benefit aN to pnn'ide :rciditional idrntifyin_ information m�sarv m aliw� counp� gm'emmrnt ro betrcr rtwnitw Iwmrsreatl
lilinty. lhis inlBrmalion will M Aery roNidm�i:�l and can nnl)' be arattud by au1lwrireJ couniy Mficials. The Ikpannsni nf
Loeal Gw<mmem Finante ��ill use this information ro creatr rools �hat �eill help comm' otAcials dimf�rc hum<s�caJ fiauJ.
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Taxpacer Name Prnpern� Address
Mathew, Marcus A/Tia M �
Rr 3 f3or -�
Ow�cn.ri • I\ a7665
State Parcel Number
zs-i �-oi-soaoo�.zsa-ozi
X
Leoal Descriotion
005-07264-00 PT SW 1 3 72 .775 AC
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.
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Ouner I First Sfiddle Las�
/�'l a�C l�.S �l / Qh /�'l a-�--�r ec.�J
Mnilmg Addmss (numbcr end itrctt, city, sea¢, and ZIP code) � Same ac praperty odd�¢
�'O6 3 LUes -� �S h o r�- ,L �h � OcveH s v�"�le .�-� Y76G
$ocial Securiry' Numba (las� 5 dieiu) IMvds Licensd5laie ID Number (las� 5 digits) Other (plmse specifi' in Part 4 below�)
Spou;e � Firsc � MidJlc L.u�
�! I CL /1'1 �CC. r � � %i'/ 2 �/� �c.c�
Mailine Addresti (Number nnd slrccl ci1}', sutc, and ZIP cuJe) � Same;u pmpeny �uidrcu
74�a� C(�es-� S�rer'� ��n� Q��veh�v%%���Si�/ �76
Sociel
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Fach undersiened certifies, under penalty of pzrjury. Ihat the abo��e and foregoing infurtnation is we and comect and that he or she is elieible to
receive the homestead siandard deduction on this propeny. Each undersi¢ned also undernands that, by claimine additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penalties.
O..ner 1 Signs Ua�c 1'dcphonc
y 6`�D (
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