Homestead_Aydt STAVE FOtM.)Wla=r t..nt APP Sutra FOAM'}IA
• APPMSEDbY SFATt WARD OF ACCOUNTS.lint PUV(1Unrn BY cur brPAknoeer(4UMTLCANCRNMrf FNASCE ICH.1-L'J.1
01 N Main Nn County Auditor
101 IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101
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 eser for homestead fraud.llolrestead fraud causes higher tax bills for all:therefore.
• HEA l344--2009 requires taxpayers who teethe the homestead standard deduction to verity that they are eligible to remise the
benefit and to pnx'ide additional identii\lrlc information necessary to allow county government to better monitor homestead
filings.-Ibis information will be kept confidential and ran only be accessed by authnri,ed county officials.The Department of
Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Aydt, Gerald T/ Ronna J
512 N 3rd ST
Owcnsville IN 47665
5850
Gerald 3-7 z i
C 102 W Short P0&x 93 Stale Parcel Number Le2a1 Description
Owensvilfe-IN 47665-9752
IIIIIIIIIIIIIIIIIIIIIt IIIIIIIIILIIIIllltlllt III I Ilion 26-17-01-404-000.021-022 017-00021-00 SMITH ADD 17
X
PART 2:TAXPAYER INFORMATION
Owner I First h1iddle AMT.- Last
GERALD 17loMAs
ng Address(number and street,city,state,and ZIP code) Same ns piaperry-nddres
a Al 38d Fee, f018op V Du/enis✓ig X& 4'766r . —
Spofy First Middle Last
' DONNA A V bT
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
512 AI 3rd k'c Pc&ax 93 aWensvri/ �/1/ c'715
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 claimiri additional homestead deductions
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Own I Signature Date
PART 4:ADDITIONAL INFORMATION
II