Homestead_Robinson (7) \l Vt Rini`\'tn IR_IW41 TREASURER LORM:S-IA
.APrMtn'EO BY MATE BOARD OFMY,ENT£.`un PRI➢%IOIDBY THE nELQTWNH4 LOCAL GIWZRYMEAT FINANCE n'H.1-Li.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple,are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than net for homestead fraud.homestead hand causes higher tat bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to serify that they are eligible to recene the
benefit and to pnwide additional identifying information necessary to allow county goyemment to better monitor homestead
filings.This information will he kept confidential and can only be aeeessetl by authorised county officials.The Depanmmm 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
Robinson, George R/ Ingrid R
202 S II Merest
_ Fort Branch IN 47648
2899
George R Robinson
202 S Hillcrest State Parcel Number Legal Description
Fort Branch IN 47648-1405
Ir�ttllrtr lrllrrrlttllr rlrrttllrir rillrr rrlriril I !Mid 26-19-18-304-000.661-02y 011-00661-00 HOLCOMB ADD 15/16
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
Geo�vlp Q c\r arc\ I'�ISYnn
�!g Address(number end 5M city,state,and ZIP code) U Same as property address
aoa S 1-a\er �- S Fc xQKo rdr -L.N ► \n U `
.
L
Spouse First _ Middle Last
--J
—Mc(A 10. .fit c e hAmSOn
Mailing Address(Nt�er and street,city,state,and ZIP.code) I"I Same as property add, s
was vt,oc re s\- 15
- - - --
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.
Ow e 1 Signature ,p Date
•
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