Homestead_Schurmeier (2) STATE 1n0.A1'J W 1Ra.,PI TPrASUEEP,FORM 75-1 A
.A/MAW BY St ATE YMPo Or\RTT NS.=n+ Ptr_4FIBID BY TIM DEPARTMENT OF men r.VEILYSTxT FINANCE n'BI.I-1'4,1
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 beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore.
S HEA 1344--2009 requires axpagers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will he kept conlidemial and can only be accessed by authorized county officials.The Depanment of
Local Government Finance will use this information to create tools that will help county officials ehminae homestead fraud.
PART 1: PROPERTY INFORMATION
Taspaver Name Propertv Address _
Schurmeier, Arvin 13 g3 5 75 0 C
it-2 FR,__l_0 A CR 730
FORT IIRANCII IN 47648
11168
Arvin Schurmeier
7383 S 750 E State Parcel Number Leval Description
FORT BRANCH IN 47648-8610
IrIuIIru ItIItnlnllultluduil Ililu rinl ru IInI t�t� 26-401-00228-00 2000 Fleetwood Cr750
PART 2: TAXPAYER INFORMATION
Owner II/ I First ay Middle / Last
•%y/'nn Rf( — �rJ�ii/i7eie/
III ling Address(number and street,city,sate,and ZIP code) ,2 Same as property addrev - _- -
73 83 S 760 j /C7Eiler/ l oTTY47c -g
Spouse First Middle Last
ti
Mailing Address(Number and street,city,state,and ZIP code) El Same as property address
Social Security Number(last 5 digits) Drivers License/Sate ID Number (last 5 digits) Other(please sµcify in Part 4 below)
Soar
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