Homestead_Nathan STATE FORM 53560(831610) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.20J9 PRESCRIBED nY THE DEPARTMEVI OF I11CAL GOVERNMENT FINANCE IC 61.1424.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N.Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
•\ FILED HFA 1344-2009 requires taxpayers who receive the homestead ce standard deduction to verify that they are eligible to receive homestead
filings.This information will be kept confidential and am only be accessed by authorized county officials.The Department of
-Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
MAY 5 2011 PART 1: PROPERTY INFORMATION
Taxpayer Name _ Location Address
C.'J•I � Nathan, Victoria L
GIBSON COUNTY AUDITOR . 307 S Hillcrest
Fort Branch IN 47648 .
8057 x7 6a4o2S
Victoria L Nathan II�IGIIIIBillIII I��III III I��III�I011�I�I 11011_11_IIIDII ICIIIIIDII�IIJ�III�II
307 S Hillcrest
FORT BRANCH IN 47648-1617
�I'�I"�II�II'�IIIII'�I�'1'I�'�III�II'llll���lll�llll�lr�"rtltrl State Parcel Number Legal Description
2649-19-102-000.597-02V PT NW 19-3-10.31 AC
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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.
_I • • _PART 2: TAXPAYER INFORMATION
Outer I —'_ First .Middle ' l r_ __.. _ - -Last•
f�n v�i A r Iv u'--Gt G A.)
Mailing Address(number and street,city,state,and ZIP code) 0 Same as property address
3 ox-/ 1-Q`I 1 (cite s i E&-u t 9`76 c7
•Spouse First First Middle last
511--) 21U
Mailing Address(Number and street,city,state,and ZIP code) e as property address
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 S tore Date
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