Homestead_Cummings SUIIE 10 M 1t IR2!WO TREASURIR FORM 3IA
.ArrwA'En BYSTATE IVMRD OF KYCM VFS.4.s PRIf[IUtID By THE DFPARTHLYTOF LOCAL CATiLYMCA'T FINANCE If 6-1.1.:24.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to or homestead ;,andanl 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 1344-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will be kept confidential and on only he accessed by authorized county officials.The Ixjanment 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
Cummings, Catherine
R3 Box 151
Owcnsville IN 47665
2410 /
Catherine Cummings r 6$01 IJ 6 2o
R3 Boa ,'
OWENSVILLE IN 47665 State Parcel Number Legal Description
26-18-06-303-000.379-022 017-00379-00 EVANSTON ADD
A 5/6/7/8/9/10 BLK 1
A
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 I First Middle Last
C4 -14,t r;., e, M O u rh fen t n 9.1
ng Address(number and street,city,state,and ZIP code)
0 I Some as property address L/
Pa 60 x 5� ' O tn.) V: I f e . t !�/ Y 1 6 6 .-
Spouse First Middle Last
AOn G
Mailing Address(Number and street,city,sate,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Driver's License/Sate ID Number (last 5 digits) Other(please specify in Pan 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
I