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AFrltm'EO BY MATE BMRDOF ArEnter ::W PRrnnsm BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE M4-1.1-L4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead siandani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eter for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1344-21109 requires taxpayers who receive the homestead standard deduction to verily that they are elicible to:scene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
Iilinp.This information will he kept conlidenlial and can only he accessed by authorized county officials.The Depanmmnt of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Angle, Rita J
412 S Mill ST
Owensville IN 47665
6199
Rita J Angle
412 S Mill St State Parcel Number Legal Description
OWENSVILLE IN 47665-9297
�r�rt��rrt�r��ttr��stt�t�s�t�tt tt�t�f:t�tt�trt�tt t��tt�t�tt�t�� 26-17-12-203-000.468-022 017-00468-00 SOUTHERN ENLG 9 PT
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
i�fF 3. 11-NG -LE
�g Address(number and street,city,sate,and ZIP code) - — ❑ Setae as propem oddis; --_. .
°dit /.? S 719 / / / SJ. Ow&A✓sUi It LIV 1,7Gf
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Spouse First Middle Last
Mailine Address(Number and street,city,stale.and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
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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 Signature (//S Date
( )
PART 4:ADDITIONAL INFORMATION
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