Homestead_Baughn 511TE FORM 3 W 12'( 17.FASURER TORN ASIA
.APPROVED BY STATE DCP.RDOf ACYYt.NTS.LUn PRESAmm BY Mt DEPARTMENT OFLOCAL 0•1101•E1.7 ra:ANCE if 6-I.1r-F.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 srandani deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'ser for homestead fraud I lonesread fraud causes higher tax bills for all:therefore.
• HEA 1347-1009 require taxpayers who receive the homestead standard deduction to verify that they are eligible to receive 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 officials.The Depannent 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
Baughn, James W Jr
Clark/Mill ST
Owensville IN 47665
6113
James W Baughn Jr Jr.
PO Box 661 State Parcel Number Legal Description
Owensville IN 47665-0661
Itlttlltttltlltttlltrrinitllrtttlltttll Iltll 26-17-12-201-000.154-022 017-00154-00 OLD PLAN 5 PT
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PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Jame5 WO, y e Qav3bin Jr.
Ong Address(number and street,city,state,and ZIP code) --- Same as apertyoddr ' - -- —
aos' N. M : /I Street P.o. Box 1061 O wen Sv% )ie Indiana g7lo(7S
Spouse First Middle Last
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)
sus
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. �T
Owner I Signature Date
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PART 4: ADDITIONAL INFORMATION
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