HomeMy WebLinkAboutHomestead_Allen (2) 'I V E FORM'rtt tit:/...EN) 1RLISGRER FORM 75-IA
.AnflED BY Cf■TF BMRD nFscrrasTC.21r4 PRIYRIBFD BY fir DEPARTC4TOF LOCAL CMCR.Atfccr FPASCE IC 4t.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 iandani deduction.As the receipt ol'this deduction becomes
ti more beneficial,there is more incentive than eser for homestead faun_Homestead fraud causes higher tax bills for all;therefore.
0 HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to verify that they are eligible to reeeke the
benefit and to provide additional identifying information necessary to allow county gmemment to better monitor homestead
filings_Otis information will he kepi confidential and can only he accessed by authorized county oflicials.The Dryunntent of
Local Government Pitons will use this information to create'tots that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Allen, Larry/Mary Jane
106 W Clark
Owensville IN 47665
6180 .
Larry/Mary Jane Allen
106 W Clark PO Box 67 State Parcel Number Legal Description
Owensville IN 47665-0067
lEltrllrlElEllttllltttltlElitttllrtttlltritttlElltrlrrlltlltrl 26-17-12-202-000.460-022 017-00460-00 OLD PLAN 5 PT
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PART 2: TAXPAYER INFORMATION
Owner I First Middle A / ' Last
LAR Ky JD us,a>11 L N
-
'kg Address(number and street,city,state,and ZIP code) -_-- me as property address
106 w. Clark S17 —67- O.3o`k 670wtp,svr/k, /d/ `t7( 5:0;49 7
Spouse First Middle Last
/40,rid J qh cc / 1ch
Mailing Address(Number and street,city,state,and ZIP code) 1-1 re as property address
So,....Q. a_3- aibcir Q-
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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 Signa e Date
PART 4:ADDITIONAL INFORMATION
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