Homestead_Taylor >T.UE FPi48 W JC•h-Itl 1111Aq'RIA HMV IS1.4
APPROVED tee TSTEN)RO OFAI I R\ttym rgLsCRntIDuv1HEDITMIVETot LOCAL r WE0.412.4t ILKsQ:le t-1.:-22-ti l
Gibson County Auditor IMPORTAN'T.NOTICE TO HOMESTEAD'PROPERTY OWNERS':.
101 N. Main Street Individuals and married couples ate limited to one honaes,ead,t:ndani deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial.them is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.°
01 a a ' �I ,Te/ IIHA 1344-11X 4 requires taxpayers who receive the homestead standard deduction to Verify that they ale eligible to teethe the
Ilp( IYpI L hTCfit and Io prnsidc additional identifying i ixmatton ncccssarc Io allow county eoeemnwm to boar mmnor homestead
filiacs.This information will be L ye.c nfidential and can only be see set by authorized county officials.The Depanmeet of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
.. PART l:PROPERTY INFORMATION
MAY 11 2012 Taxpayer Name Location Address
C :N\— "
Taylor, Corejr R/Amber N
� 'v 206 W BRUMMITT
GIBSON COUNTY AUDITOR OWENSVILLE IN 47665
1897
Corey RTaylor 1ii1011L0111010H0111011010 1111011101011011.1111111111_1 ii 0110110101101 II
206 W Brummitt
OWENSVILLE IN 47665
State Parcel Number Legal Description
26-17-12-201-000.536-022 OLD PLAN 22 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.
, - _ . A. 'A . ' 4 '4 - 4-. - .
a I First Middle Last
•••19ee617 boss TRY--cam
Mailing Address(number and street,city,slate,and ZIP code) Same as property address
2cs Way 3,2uMM1 Tr S7 ,, Owo'Isv, u-C( id iq7(0IDS
Spouse First Middle Last
re.M3 N < co/t mytoe._.
Mailing Address(Number and street.city,state,and ZIP code) FC1'Same as property address
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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.
Owne •ture Date
PART 4:ADDITIONAL INFORMATION • .