Homestead_Richeson ■
STATE FORM SiN+1R'! -NI TRFASU{ER FORM TS-IA
.APPROVED AYStAm XMRD OF A('fvRL'a'.2I'? PAUARIBFD BY Tilt DEPAPIMENTOF LOCAL U1t2R.4MFAT FINANCE IC 61.1-2_4.1
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 fraud causes higher tax bills for all:therefore.
III HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to-ecene the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing.This information will he kept confidential and can only be accessed by authorized county officiulvThe Department of
Local Government Finance will roe this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name f Property Address
Richeson, Becky T
88 I S 450 F
- Francisco IN 47649
1955
Becky T Richeson
881 S 450 E State Parcel Number Legal Description
_ Francisco IN 47649-9013 - - --
�t�n��ut�t��nt�n��r�n�t�u�� ��u��t�u�uu���u�t� 26-12-14=200-000.593.004 002-00593-00 PT NE 14-2-10 4.69 AC
PART 2:TAXPAYER INFORMATION
Owner I First f,, Middle Last
sect / iems_ 5 kideion
Address(mum and street,city,state,and ZIP code) -- - - ----- - -- — - - Same as property address- ----'---- --- — -
h8 ( A 450 co Ira OCiSCO -S/V 1 47& 19
Spouse First Middle Last
/74,4
Mailing Address(Number and street.city.state,and ZIP code) ri Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
soy
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, Signature Date
•
it\ 10..11 -111 LrU 1 I \VI L\I1 'IV% �r:-:.:a: : vi. .:.�u. _
SEE BACK FOR FILING INSTRUCTIONS
ti�lta� .
�. certify that on le s a1 c
uoicl as our principal place of residence tlle.follvwing described real
a llm art °.arl Proparrty Ta:-: Credit is hereby being claili d:.
,re.buvinq urr er contract
l
ha%'e a heneficial in', t in the taxpay r
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" any cordon of the
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- FOR ASSESSOR S USE ONLY -
DEC 1 5 (y�y
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