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Gibson County Auditor
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PRINCET�N IN 4767� hidividuals aud nu;riN couple� are IuniiN m onc hnme�caJ �andaN cicJuaion. As �hx rcccipt of �his dMunion bcconMs
murt benencial, ther< is more incencn'e than ncr for homestead fraud. Ilormrcyl frdud causes higher Iax 6ills tor all: thertfa<.
� HEA I3�t1-3009 requim tax{u.ers who receire thc hanestrad suMard JNuction �o veriiy that they are eliciMe to recene the
��a �� brnefii aM to pra'idr aJditiorul idrntifi'in� information nec�-vrr b aliw' oounn� ern'emmm� ro b:imr monrtor Mmrncmi
� filirp?. This infarmaiion w�ill be Aep confidwial anA nn only F.: arcec¢d b� autMr'vN munp� oft'mi�als. The Ikryunnxnt nf
$- J Local Gmertmem Fim�rce will u�e this iniormation W crw:c twls tha� will h:lp camn' of�icial. <liminai< Irom<ACad FrauJ.
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— APR 7 Z��O TasparerNnme
_ Deal, Dean M/Lynda J
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Prnpertc Address
3?03 JULIE DR
PRI\C6f0� IN i7670
Dean M Deal �/' a_ t� a�
3203 JU—_ LIE D�f —�� State Parcel NumAer Lesal Description
PRINCETON IN 47670-8120
I I'I I II � II I I I II I III I I II I�I 2Fr11-15-101-003.949-027 006-03949-00 SANDY RIDGE EST C 43
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This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
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Owmer 1 /^/ First Middle /^�/ Lut
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�e Addmss (nem6er and sam. ciry, itate, and ZI P code) � Same ns pmperty addles.
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$ocial
Middlc Last
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Mailine Address (NUmber and slree4 ��y, siate, and'LIP coJe) �amc as pmpeny adJres;
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Each undersiened certifies, under penalty of perjury, [hat the abo��e and foregoing infortnation is true and correct and that he or she is elieible to
receive the homestead standard deduction on this property. Hach undersiened also understands that, by claimin¢ addi�ional homestead deductions
unlawfvlly, he or shz may be liable for back taxes and substanrial financial penalties.
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