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RWrI� PORTANTNOTICETOHOMESTEADP GOVERNMINT FINANCE IC •_a
Gibson County Auditor
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
/A— more beneficial.there is more incentive than ewer for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they am eligible to receive the
do
benefit and to proside 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 Department 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
Cynthia J
207 N SCOT-1'
Owensville IN 47665
2442
Cynthia J
207 N Scott State Parcel Number Legal Description
OWENSVILLE IN 47665-8762
1t1u11u tlt ilntllut�tirlultlnr1t 11un1t111ut1u r1u1t11 26-18-07-101-000.549-022 017-00549-00 PT NW 7-3-11 .438 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 1 O First Middle
1,13
'rig Address(number and stmt city,state,and ZIP code) Same as property address
D t &9x G/� OM 7P, SGn f Dir_)e/Ds o,'!/ -1/),`/74/s
Spoils' First Middle Last
Mailing.Address(Number and street,city,Mit,and ZIP cod—rmill1111111111111111.rill e as property address
•
Social Security Number(las i. .s Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
So¢ _
PART 3:-CERTIFICATION > -' _.T . 1 ---- - - ..
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.
Ownrlr I Si e ^ Date
( )
,• PART 4:ADDITIONAL INFORMATION
II