Homestead_Garrett (2) , ` SEMM FORM&tt4,ttl 4e, IR'ASCRLR IOLM IS-IA
.SYRrwtO BY 101 ilntRI.OF At I It\ia._IsM FRIaCREILD BYTm:O.J'AR1MLvr OFtCCLL CanF.R.MUhl FLl&'CE IC t-t.l2-t.t
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS' .
101 N.Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction become,
Princeton. IN 47670 more beneficial,there is more incentive than ncr for hotn:st ad fraud.Homestead fraud causes nigher tax bills for all:therefore.
ze
lip HEA 1344-2004 regain.,taxpayers who receive the homestead standard deduction to verify that they am eligible to receive 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 can only be accessed by authorized county officials.The Department of
Local Omrrrrrcnt Finance will use this information to crate tools that will help county officials eliminate homestead fraud.
. PART 1:PROPERTY INFORMATION .
Taxpayer Name ,.•/Location Address
Garrett, Jeffrey/Anna Lou.
108E SHORT ST
OWENSVILLE IN 47665
543 IIII IppI�
Jeffrey Garrett II 101 I I_IIIII III II II II I�I 11111111!111 011 II_II�111011011 I_I 10011111:1 VI I�I II
P 0 Box 223
OWENSVILLE IN 47665-0223
IllIll1111 111111111111111 11111111111IIIIIIIIIIIIt'ItiiilIIIIIIIII State Parcel Number Legal Description
26-17-01-404-000.159-022 SMITH ADD 6 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.
/ f• . 1 .1 ix _ _
.r I First Middle ' Last
Je.-PPr e y L-y A it. G a r r cam!y
Mailing Address(number and street.city,state,and ZIP code) 0 Same as property address
Po• bo ,1 11.3 0i_stv7oscni(lerai. 47196 s
Spouse First Middle Last
Mailing Address(Number and street,city,state.and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) Driver's LicensclStatc ID Number (last 5 digits) Other(please specify in Part 4 below)
I I I I I I , I tsnit
. 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.
nor I nmature Date
( )
PART 4:ADDITIONAL INFORMATION • .