Homestead_Barrett (2) •
SIAM 111101!se+lK ,w't TREASURER 000.4 71IA
APPRIT ED By ATATE BOARD OF AM 1:5R._✓I+ PILSCRIOtDfY nti DEPARTMENT Of UAALrovrtNMrrn FINANCE IC 6-I.1-w-61
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standarsi deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
1 HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive a the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.this information will he kept confidential and can only be accessed by authorized county oficinl.s.The Depanmenl 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
_ Barrett, Jerry/Mary Jane
w Brummitt
Owensvillc IN 470
6076
Jerry Barrett
7295 W SR 165 State Parcel Number Legal Description
OWENSVILLE IN 47665
26-17-12-100-000.050-022 017-00050-00 PT NW 12-3-12 8.553 AC
D-20
x
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
JerYy GoY)cA' 6a. Yye�
�ng Address(number and street,city,state,and ZIP code)_.-_. — -- — --— - -- 'are as property ODUfLSS - ----
72-95 w 5R /65- C 1SV/ Lbe 2N, '-/O665
Spouse First Middle Last
Decease.cl
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
5e¢
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
/
PART 4:ADDITIONAL INFORMATION
0