HomeMy WebLinkAboutHomestead_Campbell (4) STArl von'•tIU,rti/• ep IR!ASLREE tOt.Y IS1A
.VPtOVE m':7\t'_BOSRI:OF A(r lIarS.:Ow MIS'R1 DUY THlnll.l&IMS.ST OE IIX:LL CO\FASsitSL II\A`CE it t-therz!
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY.OWNERS
101 N. Main Street • Individuals and married couples are limited to one hontsead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial.there is more'reenlist than e'er tier homestead fraud.Homcmead fraud souses higher tae bill;for all:therefore.
• FILED IIF..\ 1344.009 requires taxpayers who receive the homestead standard deduction to eerily that they are eligible to teethe the
benefit and to provide additional identifying intitmauon necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county olticuls.The Department of
Local Government Finance will use this information to creche Hurls that will help county officials eliminate homestead 'mud.
APR 1 ZO1Z PART l:PROPERTY INFORMATION ' . -
Taxpayer Name L ocation Address
C. .lrt. _. , Campbell, Jennifer
(V�� 405 S MAIN ST
GIBSON COUNTY AUDITOR OWENSVILLE IN 47665 0
1924
Jennifer Campbell 111X111-Bill 1I1II III IIImIIIIIBIBIleIIfuBIIlIleIIIBIBII_IIBIIfluB1111101 II
405 S. Main ST
OWENSVILLE IN 47665-9402
iiIililIiII'll"III'llllrllliIl iil1"IIII'IIIIIIIliIIiilIiIllll'I State Parcel Number Legal Description
26-17-12-204-000.040-022 PT NE 12-312.05 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.
1 . • • PART 2:TAXPAYER INFORMATION,
a I First Middle Last
�jw�r.;ceX (_s..QlneN P1bee4t- Oartc
Mailing Address(number and street.city,state.and ZIP code) ��- \\\ fl Same as property address
4.06 Stxoc-A tmu4fiA ati-zk 00P.14kit1U1 II -fluw"J
_.
Spouse First Middle Last
Mailing Address(Number and street.city,state.and ZIP code) ❑ Same as property address
_. _ _..__ --_ ___ _. - -_.-. 0
Social Security Number(last 5 digits) Drivers License/State ID Number (las:5 digits) Other(please specify in Pan 4 below)
I I I I III 5we
PART 3:CERTIFICATION - . . o
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 t, n Date
- .