Homestead_Versteeg STATE t ORst!!vs,0rvnl MEASURER FORM TS-IA
APr wtn BY STATE IXHRDnE MPYRtNIC art PAInThUa BY fir 0EPIalletr(4 LOIAL rsnt,ntrra FDaACElCtl.l1ir.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead wanders'deduction.As the receipt of this dedtlaion becomes
more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
® HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they arc eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be accessed by authorized county officials.The Department of
Local Government finance will use this information to create 4vls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Versteeg, Peter/ Debra J
101 SScott ST
Owensville IN 47665
6638
Peter/Debra J Versteeg -
101 S Scott ST State Parcel Number Legal Description
Owensville IN 47665
26-18-07-101-000.550-022 017-00550-00 SCOTT ENLG 9 PT
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
RTI z
c-,r— �/E�'s ee
ng.Address(number and street,city,state,and ZIP code) ❑ Same as property address — -- - — -
jot G. Scot-f' �r0tBox_ 311-z Owervsv`I1leiN, Li 766C
Spouse First Middle Last
r \tars Ate c�
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same asp ivy address
101 .S Sea-f-� 5-t ?,3,Box .34 z Ou.k.t\-s\ii ��e 7 6 6
;
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.
atlue 11 Date
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