Homestead_Hasenour (8) MATE FORM•)V.ta=r .,t • WARMER FORK i-IA
...rumen,BY MATE MMRDtW Mf"R:STiym PRI RIBW BY 111E DEPARTMENT Cif LOCAL GOVERNMEKT MANCE 1C 41-1.1-_4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction&stogies
more beneficial,there is more incentive than ester for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reecho the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will he kepi confidential and can only he accessed by authorized enmity officials.the Dcpunment of
Local Government Finance will use this information to create tool:i that will help carom officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Hasenour, Nancy V
— 2952 E SR 68
llaubstadt IN 47639
10769
Nancy V Hasenour
2952 E SR 68 State Parcel Number Legal Description
HAUBSTADT IN 47639
26-23-03-200-002.344-024 004-01413-00 PT NE 3-4-101.426 AC
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PART 2: TAXPAYER INFORMATION
Owner First Middle Last
u K c
V. t ,�,�AS5/Vaa iZ
�g Address(number and street.city,state,and ZIP code) .— ' - - — - - — —E STritc as 0-Foray address - --'
Aq.sa S. s/2 68 �Acts5/ A p7;; /Li 47639
Spouse First Middle Last
Mailing Address(Number and street,city.state.and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivels License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
star
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above andforegoinginfonnation is tote 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
•
CLAIM FOR HOAAESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
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�) owned ❑ Are buyug urda contrad
Have a bercfidal mtere� m the entiry that is liade fw Me popaty tazes m the popaty and tivt owns Me properry w is buyug under a contract
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I Aereby certify the above is true. mrted. ard Sie�ra of ns�u Date sig�ed
mnplete.
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