Homestead_Simon (5) tat lntat 5)M tR2t f.PI rarvsuta wrtdzin
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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.I lomesread fraud causes higher tax bills for all:therefore.
® HEA 1344--3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying information nece.sary to allow county government to better monitor homestead
tiling,. Ibis inhumation will he kept conlidemial and can only be accessed by authorized county officials.The Depannent 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
Simon, Dennis r
RI Box 480 (\
Fort Branch IN 47648
9470
Dennis Simon
4027 W SR 68 State Parcel Number Legal Description
Fort Branch IN 47648
26-22-09-100-001.408-024 004-01408-00 PT NW 9 411 1 AC
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
I Pilnis Simon
lg Address(number and street,city,state,and ZIP code) - ❑ Same is property address' - --
5027 w SR 11( for f BY ivy% I',v Y2CYt
Spouse m Firs" Middle Last
Mailing Address(Number and street,city,state,and ZIP code) Same as propery address
Social Security Number(last 5 digits) Driver's License/Stare ID Number (last 5 digits) Other(please specify in Part 4 below)
sot
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 substantial financial penalties.
Owner I Signature Date
•
0
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