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Homestead_Hamby I a v
STATE FORM!)M IF'/fJ+l 1REASUUER FO&V 134A
♦rrntn BY MAW Bninf OE.MYV15.1'Ta.Y/m PEf$R1BED BY cot DEPARMEN OF Matt GOVEl.YMTK1 FINANCE 1e 41.IS:4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couple..are limited to one homestead standanl deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
di HEA 1344-3009 requires taxpayers who receive the homestead standard de duction to verify that they are eligible to recehe the
benefit and to provide additional idenunine information nece sirs'to allow count'govemnnst to better monitor homestead
filings.This information will he kept confidential and can 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.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Hamby, David B/Jane Ann 5"3l to /2 oOS
'It—l-14149. frb
Ilaubstadt IN 47639 c\---'
11117
David B/Jane Ann Hamby
431 W 1200 S State Parcel Number Legal Description
Haubstadt IN 47639-8809
26-23-18-100-000.411-024 004-00411-00 PT NW NW 18 4 10 .728
1111111,1111111111111111111111111111 1 11111111111111111111.1111 X AC
PART 2:TAXPAYER INFORMATION _
Owner I First Middle Last
` A Oil A
tg Address(number and street.city,state,and ZIP code) [.ca= -=c p)•operty m '-
'131 w 1Ao03 1-14116sInISi 7-N y7 639
/
Spouse First Middle / Last
Mailing Address(Number and street,city,state,and ZIP code) I J(' Same 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 Signa �//��°�'K Date
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