Homestead_Brune SLATE FORM.,t tlR_/!-/Mt TREASE'afl FORM T:IA
.srp ROVED BYst TL BnVtDnr Mrrtsrsaan PtrstIaED BYnhr DEPARTEYT Or LOCAL rAv2RsMETT FINANCE MH.1–r4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead aandanl deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to recene the
M benefit and to provide additional identifyina information necessary to allow county government to better monitor homestead
filings,This information will be kept confidential and can only he acee ml 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 I: PROPERTY INFORMATION
Taxpayer Name Property Address
Brune, Daniel J
107 S 2nd ST
Owemsville IN 47665
6157
Daniel J Brune
107 S 2nd ST
Owensville IN 47665 State Parcel Number Lesal Description
26-17-12-202-000.153-022 017-00153-00 WILSON ENLG 6 PT
PART 2:TAXPAYER INFORMATION
Owner 1 First Middle p Last
PAAiNdy TONAL BR.uNe
•it2.Address(number an treet,city,state,and ZIP code) -- -- Same as property eddtecs– —
—
P.D• 8ol 707 - MI S. cee0M,0 ,c%. OU eh5v11k, TN 47665
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 snuffy in Part 4 below)
snit
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