Homestead_Powell SIAM FORM!'Nla_I HnI MIASMA FORM:11A
ArrRln'Ln BY STATEBMRDrIw ACCIAINTs.9n etr.RAtaWU BY PR Df RARTMrYMTO fL TA:SL 00%TRYMEAT MANCE IC 6-1.I-2:-r1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentive than e'er for homestead fraud.Homestead fmud causes higher tax bills for all;therefore.
HEA 1344-2IX9 requires taxpayers who receive the homestead standard deduction to verity that they are client to teethe the
benefit and to provide additional identifying Informmmn necessary to allow county government to better monitor homestead
litir2tq.This information will he kept mnt:dential and can only Iv accessed by authorized county officials.The Depanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead timid.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Powell, David B/Deborah J
s dt IN 47639
11004
David B Powell
1927E Sierra Dr State Parcel Number Legal Description
HAUBSTADT IN 47639-7974
I. .IIlttllllttr I.I.I.lIntIIuIllIlilItIttIttItIIittI.ItIll 26-23-16-100-001.928-024 004-01928-00 COUNTRY AYRE EST 2 10
D-9
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
tg Address(number and street,city,state,and ZIP code) Same as property address
19A71. Lae.A- Tt va etas-> ate- 1 `iLZc 3g
Spouse First Middle Last
Teo P_A-A
Mailing Address(Number and street,city,state,and ZIP code) [,Same as property address
f
7A7 t x t,ez{I '7,Aide ,hi-«.as-t ie.i 5.4 V/ J
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PART 3:CERTIFICATION
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 su stantial financial penalties.
Owner ignaturc ii Date
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