Homestead_Wagner (3) -Y l.• sisal FORM Arty IF:r.-nl TRFATLEUA FORM ZIA
APPROVED BY MLLE BOARD OiMThiNTS.7+.v ,UfltBFD BY TIE DEPART]EVT OF LOCAL CAWELVMorr FBLOYE MHJr-tl
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
more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-7000 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recei.e the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he Leg confidential and can only Ise accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Wagner, Steven L/Lagerald
603 SMiII ST
Owensvillc IN 47665
2267
Steven L/Lagerald Wagner
603 S Mill ST State Parcel Number Legal Description
Owensville IN 47665-9404 11PP��
tFt�r��ttt��ttt�t�t�t�tt tlFtl'Ittttitt,•• Heiden 26-1712-101-000.560-022 017-00560-OOWOODBREE ADD 11/12
III tt II
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
551-eueAL) a L er._ liAa i11eR
Oalg Address(number and street.city,sta and IP codee) 'came as property address
L03 So.r11t Pi,/ get 0we,Llsai,%/e• SA) 17GG5
S use First Middle Last
�Ct G�YQkd C .rts j-,'n-q
4 r.e{
Mailing Address(Number and street,city,state.and ZIP code) R.$bme as property address
keo3 �V\ M\\\ S . ``�eX,- tk ' 1.- ( LJUCRID5
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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.
Owner I Signature Date