Homestead_Barrett (5) :MTh FORM!!!N t R_/YNI rafACUIER FORM ill.e P
//ROVED IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS -a
Gibson County Auditor
101 N Main '
PRINCETON IN 47670 IndividuaLs and married couple are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than net for homestead fraud.homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires Iaspayers who receive the homestead standard deduction to verify that they arc eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.'Ibis information will he kept confidemial and can only he accessed by authorized county officials.The Depanntent 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, Gary D
206 E Walnut
Owcnsville IN 47665
2318
Kent Barrett
206 E Walnut State Parcel Number Legal Description
OWENSVILLE IN 47665-9295
�t1rr1�rrt 1ti1ttt Iltttitlt ltltrtt1r11r1trr1t 1ti1tttr 11 Ill 26-17-12-204-000.029-022 017-00029-00 PT NE 12-3-12.25 AC
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I /�4, First y5 n / N ^ Middle /����� Last
Adddr ssess(number and street.city,state,and ZIP code) / /1(//J`/'/f Samee as property address
,ng
06i G 4 %W[STldAO,-1'9_35 OGV /S' LL. Xx' 9Z Sir
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) 0 Same as properly address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
__. _ _ _ _ _ 5oue
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 orgPshe may be liable for back taxes and substantial financial penalties.
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PART 4:ADDITIONAL INFORMATION