Homestead_Hurt e e STATE TDRM53WIR'11-tn) EPEAStitamtVZIA
ARrKI*'En Br CTATE WARD OF scrotens.ton Itfy(AIBm &v n1r DEP.ARTNErr(LOCAL tOVEtYMrxT TTANCE IeaI.I--r-1.1
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 incenthe dun eser for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they a eligible to receive the
.' benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will he Leta confidential and can only be accessed by anthnrired county officials.The Department of
local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
•
Hurt,April I
906 S Center
Fort Branch IN 47648
7912
April I Hurt
906 S Center St . State Parcel Number Legal Description
FORT BRANCH IN 4764 8-1706
ItIttlltrtlElltttlttllttittttIlltttIllttttII IIttttII III
26-19-19-103-000.190-02 011-00190.00LOWESADD 4
•
PART 2:TAXPAYER INFORMATION
— Owner I 4Y7 First - Middle / ` � Last —
1 1tcC— /�n Address(n /and street.city,state,and ZIP code) Sn'me as propem address
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ 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)
sac
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
1,
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