Homestead_Campbell (2) •, • STATE FORM!Mt*OC/YMI TREASetU FORM 73-IA
APPROVED BYSISIE YUPOOFMTYt!:TS.n'n PUSTUDIDBY THE DEPARnerrw LOCAL tMtRVMEyr FTAStte 114.1174.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than escr for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2000 requires taspayers who receive the homestead standard deduction to verify that they am eligible to recene the
benefit and to provide additional identifvine information necessary to allots'county government to better monitor homestead
filings.This information will he kryi co:Iacotiol and can only he 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
—.- Campbell, Charles A/ Betty J
205 N Smith ST
_ _ ._ Owensville IN 47665 __
6608
Charles A/Betty J Campbell
Box 181 State Parcel Number Lezal Description
Owensville IN 47665-0181
It�ttllt ttlrllttt llt rtltlr�� IIItt Itrttillt t�ttttlltt llti 26-18-07-101-000.067-022 017-00067-00 CB SMITH 1
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PART 2: TAXPAYER INFORMATION
Owner 1 First Middle Last
Gan rL C' 5 A C-4-0tp belt
g Address(number and street,city,sate,and ZIP code) Same as property ndriress
•oac /9l OWenu5t/ rLLe -tTJ y76 [es - Otet
Spouse a First Middle Last
%el-r CA nn p e l l
Mailing Address(Number and street,city,sate.and ZIT'code) ❑ Same as property address
?,ax h °! OWeMsu, LL--e. _C .,/ Li 7 67 & 5 . c ;8t
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
. 3eTiy 5. CA Alp bELL - /o
PART 4:ADDITIONAL INFORMATION
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