Homestead_Colbert MTh FORM:Wag,R'/HNI TREASURER CORM TS-1A:
.,rpKcwEosvcIVE MARI)OF AR4arL2ur PA!]YWNDnYmr OEPARMENT OF LOCAL CrOVERNMEICr ANCE101-1.1-r-AI
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 e'er for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1344--2109 requires 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.'Ibis information will he.qv confidential and ran only he accessed by authorized county officials.The Depanment of
Local Govemment Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Colbert, Ernest/Ronda
204 I;Maple ST
Owensville IN 47665
5879
Ernest Colbert
PO 413 State Parcel Number Legal Description
OWENSVILLE IN 47665 F I id 17-01-404-000.427-022 017-00427-00 WAR 1ST ADD 17PTI78PT
t rf
MAY 6 'Z(UU
O1�
GIBSON NT AUDITOR
(� PART 2:TAXPAYER INFORMATION
Owner I b r'/ e s- First 1, t{ Middle Coll)ti Last
ong Address(number and strut,city,suite,and-ZIP code) - - - _-/I - - -- -- atne as property address - � '- "--
T
Spouse First Middle Last
11DAqa )11: CO)bErf
Mailing Address(Number and street,city,state,and ZIP code) h- l-satame as property address
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is true and correct and that he or she is eliuible 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