Homestead_KeehnGibson County Auditor
101 N Main
PRINCETON IN 47670
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IndiriduaL. and inarricJ mupin arc IimiteJ to onc hnmeueaJ �andanl Jalu.iion. Ar the rmtipt ul' Uti; deductMn brcomes
morc beneficial, thrrc is morc incenm2 ttun e�er (or home7raJ fraW. IlorteaYead frnuJ cauus hi�her iai hill> tor all: thertfae.
HEA 13K-?Ct19 requim ta��u.m �ho recci.�e thc I�nestced nandard Jnlunion in .erify �ha� ehey am i•lie��le to mecne tF.
beneni anJ m pmridc :�Witio�ul identiiyimt intumuuun rccrs-vn� �o allw' counq' grnrmment ro berter moniror homes�emf
filin�,�.'Ihis informuinn will M Aryu ennfi.!eniial anA ran nnW M: aorr..cd M1p awMriiN eounp� ntlieiali.'ILe Ik�wnmen� nf
Lcaal Gwcmmcm Pinairce �vill u.c ihis informa[iun �u crca¢ Rwis dwi aill hclp cwnn� of8cials diminmc Iwm<s�cad (nuJ.
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T•rxpa��er Name Prnoertc AdJress
Keehn, Nalhan/Ally �
368 ��' d50 N
PA'lOF:A I\ i7666
Nathan/Aity Keehn
368 W 450 N State Parcel Number Leeal Descrintion
PATOKA IN 47666-9068 � z� —
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2�- 0�-/3- yoQ �03. a�sG -ai8'
Addrest (number and ivnt, rity, imtc, end ZIP codc)
Securily Number (last 5 dieiu) � Uriver's Licenx/Slate ID Nwnbcr (last 5
.4ddras (Number and ilree4 riiy, slalc, and ZIP cuik)
�` 4�� � fy, 1"C�k.0
tturity Number (lact 5 digi�s) Dm�crs LiccnscJStatc ID
Qaa 5
pmperty oddrtss"—
j� $ame as pmpeny addrtsi
�ft
mdersigned certifies, under penalry of perjury. [hat the above and foregoing infurmatiun is we and correct and that he or sl�e is elieible [o
e the homestead standard deduc�ion on this propeny. Each undersi¢ned also understands that, by claiming additional home;tead deductions
fully, he or she may be liable for back taxes and substantial financial penalties.
I Signauue Untc Tclephmc
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