Homestead_Callis o mit mud:)rM,R unl REASY{El FOAM 31A
At/M•EA BYCTSTE arMano€AR[a":1S_1.n PILFWIm BY 411E DEPARTMENT lir LOCAL WS2R.W.rNT ra<ANCE M41.1-Li.l
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 e'er for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recene the
benefit and to provide additional identifying infomation necessary to allow county government to better monitor homestead
filings_This information will be kept confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will use this information to create Tools thai will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Callis, Carolyn S
805 E John
Fon Branch IN 47648
2830
Carolyn S Callis
805 For E John State Parcel Number Legal Description
Fort Branch IN 47648-9789
it�n��ntit��nt�n��n�r�r�n�nt��n�a�t�u��rur�t�nilhul 26-19-18-302-000.116-026 /011-00116-00 HILLCREST 67 PT
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
Cat-0 L yA, SU.E CccL-Lis
Tg Address(number bnd street,city,state,and ZIP code) l�l Same as property address
SOS E laL7
Spouse First Middle Last
-
Mailing Address(Number and street,city,state,and ZIP code) I] Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
State
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
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