Homestead_Wagner 5 W FORM DY inl/v,q IUAn:W FORM ZU
serMw En BY SISTE BMW OFxO4M.5,5 FLFY(luBED BY THE DFPMTW.YT(W LOCAL GOVERNMENT FINANCE r 14-r4i
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
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r- more beneficial,there is more incentive than ever for homestead fraud.Homestead fmud causes higher tax bills for all:therefore.
HEA 1374-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying information necesmry to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only he accessed by authorized county officials.The Ikpannent of
Local Government Finance will INC this information to create tots that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Wagner, Rodney L
415 N Main
Owensville IN 47665
5887
Rodney L Wagner
415 N Main State Parcel Number Legal Description
OWENSVILLE IN 47665-9699
_ -- _.IFlullu F1r11uF11ru1r1F1t1ut11u1t1n1t1t nit11t1r1ni11F1 26-17-01-404-000.551-022 017-00551-00 SMITH ADD4
•
PART 2: TAXPAYER INFORMATION
Owner I- First Middle Last
god 0.,Qi L S W Q 001 her-
g Address(number mad street,city,state,and ZIP code) ` U Same as grope s
oddae
`t'o bo x 1 I2 915/U ( 1Mc,►)A 5±-Owens v 1,2 ET ) 9 -746S
Spouse First Middle Last
•
Mailing Address(Number and street,city,state,and ZIP code) El Same as property address
Social Security Number(last 5 digits) Drives License/State ID Number (last 5 digits) Other(please specify in Pan 4 below) — - -' -_- -- — — -
sine
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 / Date