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Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples ale limited to one homestead standard 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.
HEA 1344--2009 requires taxpayers who receive the homestead standard deduction to verity that they are elieiNe to tecene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings. Ibis information will be kepi confidential and can only he accessed by authnriied county officials.The Department of
local Government Finance.sill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Holzmeyer, Mark Alan
C----1(2130)---71-571-
D
Ilaubstadt IN 47639
11057
Mark Alan Holzmeyer
2285E Warrenton Rd State Parcel Number Legal Description
Haubstadt IN 47639-7970
26-23-16-400-000.495-024 004-00495-00 PTN SE 16410 1.50 AC
X D9
PART 2: TAXPAYER INFORMATION
Owner I First Middle J Last
//,4RK rt1,A.N F4oLzme(Ek.
One Address(number and street,city,stare,and ZIP code)-- —— '- --� Same as property address
22gs E. I,I}AR2ENloH R.D. 1-/40.0 5 MDT !N %7b37
Spouse First Middle Last
•
/44-1H Sum 00 izmeyer
Mailing Address(Number and street,city,state,and ZIP code) R-Same as property address
zfl5 r t a t� . 4-Lbsta _TA) /176: 41
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.
Owns I Signatuie -` — - - Date -__ -
•
-=--�'_ 's ---- �-__ . . _
C1AII'1 FOR h'�h�ff1�D PR(}PERT( TAX CR�IT FDR YEAR 9 S�
S�\ BACK F(}R FILIPhi INSTRU�.TIONS .� -
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