Homestead_Whitehead el
STATE FOAM!3?* Ir n-, mrASInmA LOIN 75-IA
.Arntneso BY STATE■fNRD CV AMA Zino PIESCRI ED BY mE DEPART TJTUW LOCAL COVE/OISIENT FINANCE IC.-1.1-r4 I
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 incentnr than net-for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires',waxers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to ptm'ide additional identifying information necessary to allow county government to better monitor homestead
filings.Ibis information will he kept cnnlidenlial and can only be accessed by authorized county officials.The Department of
Local Government Finance will we this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property'Address
Whitehead, Jacquelyn S
• P 013
Owensvilk IN 47665
- 6623
Jacquelyn S Whitehead
102 Smith St PO Box 670 State Parcel Number Legal Description
OWENSVILLE IN 47665-0670
1111_11111_111111
I I I I I
I I I I I I I I I I I S I I I I I I I I I I I I I I I I I I I I I III 26-18-07-101-000.259-022 017-00259-00 PT N W 7-3-11 .25 AC
PART 2: TAXPAYER INFORMATION
Owner I First Middle last
-- an Address(number and street,city,state,and ZIP code) - U-Same as property address— --- — - - ---
°S m,QOX IN wNa�rati,)L) 4'7G 5
/
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) n Same as properly address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
sax
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.
ncr I nor SiççiwsIà - . 'Date
•