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Aj-TION BY a.UDITnR -
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%WE FORM W.I.(R'/WO rlEAStJRU(ORM}.IA
1r/RIVED BY STALE BOARD OFAerYT.\ttbr PrtnmtD BY Tiff ntr nrr(w LOC.AL(IOVEICOUNT fa:M1SCER' t.I-n-II
, 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.
illi HEA 1544-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This inl'nrnu Lion will be kept confidential and can only be accessed by authorized county official,.The Depanntent of
Local Government Finance will usc this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Plassmeyer, Kenneth A/Patricia 75'2 le- 'f 5oS
N LW: Uy
Francisco IN 47649
8498
Kenneth A/Patricia Plassmeyer
7521 E 450 S State Parcel Number Legal Description
Francisco IN 47649-9162
III lu I a III I I I I I I I I I I I I I I I 26-20-04-100-000.807-001 001-00807-00 PT NW 4-3-9 20.25 AC
o uL
t t t II , IlIn l nn l 11 l ul I n D-8
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
I\ enY1efb Az p10, 55' -v» eyeb
�g Address(number and save[,city,state,and ZIP code) — -- - 111-1 fie as properly address - - - -- '- —
7 5 2.. 1 E , 4 5bS , F&-aver-se,X-N 4/7,6-11-7
Spouse First Middle Last
Pat ,,- I�c4"et A Fla ss7rt-eyeh
Mailing Address(Number and street,city,stale,and ZIP code) EISime as property address
76 . 1 0 - y 505, / FQ, ct5co Ti/ y76y5
Each undersigned certifies,under penalty of perjury.that the above and foregoing infonnation 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
"
7