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515Th FORM!Mt.Ife 1 Ft MEASLIER IOPN 13.1A
APPROVED BY Sf5TE a01RDO1-AM!Kt Zino PRr3TSBm BY TIE DEPARRCVT OF LOCAL nOVERVMFAT ra:ANCE tem.t-La.t
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 fmud.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 recent the
benefit and to provide additional identifying infornutwn necessary to allow county government to better monitor homestead
Glints.This information will be kepi confidemial and ran only be accessed by authorized county officials.The Ikpanntent of
Local Government Finance will use this information to create Dols that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Mason, William E
100 W Williams
Fort Branch IN 47648
6787
William E Mason
100 W Williams State Parcel Number Legal Description
FORT BRANCH IN 47648-1048
III I I I I I I I I I I I III I I III 26-18-13-402-000.502-026/011-00502-00 WALLACE&FRENCH 270
t o ur r tit n u uu rnr a u r to ur u r ✓ PT271 PT
PART 2:TAXPAYER INFORMATION
Owner 1 First Middle Last
/j,, //i A/7/ /9.7 /? S 0 Al
ng Address(number and street,city,state,and ZIP code) _ - --- ---- -- Same as property address — - - - -
/ 00 (,c /L=■ / .tip
7I/111 SF t/ ) 3.enitierI xvf) V.76 8
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 Pan 4 below)
Sox
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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