Homestead_Dike (3) •
STATE FORM 5 IR]r% I PIEASUau FORM ASIA
.APPROVED bYSt Sri anVtDnr.A/?A/L%TS.`YN PRESwbra BY PIE DEPARMr-YC(F LEXA' GOVER'MIT?FIANCE IC 4-1.1-224.I
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead aandard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than ex=for homestead fraud.Homestead fraud causes higher in bills for all:therefore.
• HEA I34-1-7009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to pnwide additional identifying information necesaan to allow count'government to better monitor homestead
filings.This infornatinn will he kepi cantidetuial and can only he accessed by authorised county officials.The Grimmrlent 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
Dike, Timothy W/Tonya R
Church/l3rummitt
Owensville IN 47665
2287
Timothy W/Tonya R Dike
212 W Brummitt State Parcel Number Legal Description
Owensville IN 47665
26-17-12-201-000.637-022 017-00637-00 OLD PLAN 23 PT
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
oiA /JO/vex
(ling Address(number A street.city,state,and ZIP code) me as property address
-
Spouse First n Middle Last
� Rea e,'ee
Mailing Address(Number and street,city,state,and ZIP code) Same as property address
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
PART 4:ADDITIONAL INFORMATION