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Homestead_Walther (5) •
5105 t ORM!3,4∎• .o.t TRFASULIP FORM YIA
nrrPrn'Eo BY•tiIL sworn AMA.N7S_15W PRESCRIBED BY nn DTPARTHENT OF tocALrosaRYY.rtcr FINANCE Ir.-LI_AI
Gibson County Auditor
101 N Main u 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 ever for homestead fraud I Iomesteal fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who reecho the homestead standard deduction to verity that they are eligible to recite the
benefit and to provide additional identifying information necessary to allow county govraiment to better monitor homestead
filing.This information will be kept cant:danial and can only be accessed by authorized roomy officials.The Ds-penman of
local Goverment Finance will use this information to create'Ss than will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Walther, Paul Mark/Roxanna L
504 N Second St
Owensville IN 47665
5889
Paul Mark/Roxanna L Walther
504 N Second St PO Box 205 State Parcel Number Legal Description
Owensville IN 47665-0205 -
�t�tt��ttt�t��rtt��ttr�t�r�� 26-17-01-404-000.567-022 017-00567-00 PT SE 1-3-1290 AC
1 Illrtlttll r �t�t��t �
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Pau l. /1'I a r/C lila, i�r
•ng Address(number and street,city,state,and ZIP code) - - - --G Same as p opegv warms--- " - —- - -
`0 or /3ox „2, 6— DWehSv;Lle 77V 1/76 � S
Spouse/.--) First t- Middle Last
/ /a �i h er R gan n
Mailing Address(Number and street,city,stale,and ZIP code) ❑ Same as property address
P, 0 . 730 02v = 0wenct/ L e Z7\< L/n766
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
PART 4: ADDITIONAL INFORMATION
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