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HomeMy WebLinkAboutHomestead_Riddle STATE FORM 53569(R:/7-09) TREASURER FU0.N TSIA APIROVEO BY STATE BOARD OF ARQI.T. S.SW PRESCRIBED BY THE RPARTMFT OF LOCAL GM:ERMA:EMT FINANCE C 6-1.11341 IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS 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 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 verify that they are eligible to receive the benefit and to provide additional indentifying information necessary to allow county government to better monitor homestead filings. This information will be kept confidential and can only be accessed by authorized county officials. The Department of Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud. • PART 1: PROPERTY INFORMATION Property Address(number and street,city,state,and ZIP code) ar3t-tw fllaUudut FILED State Parcel Number 616-la-O'7-3oLI- ODD- IS 0-0a E SEP 252013 GIBSON COUNTY AUDITOR • PART 2:TAXPAYER INFORMATION Owner I First Middle Last LeArMALCA) r) Mailing Address(number and street,city,state,and ZIP code) Fi Same as property address Spouse First Middle �'j, Last Mailing Address(N and street,city,state,and ZIP code) ❑Same aas.,pprroop(eJerttrty/address 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 Si tore p(oEse Date ' ill INSTRUCTIONS MVP R5? CLAIM FOR HORAESTEAD PROPERTY TAX CREDRlSTANDARD DEDUCTION sr� r� sna Ra i sae� Presabed by tlie Deper6rad d La�l Ga�rerronard Franm �NSrRUCnorrs: s� �re,� saa �. ramy m�n„�,u. FORM HC10 _ I(We) .\-/� lhls6►G��J.+ 1�%LY�L.7lt' �YLOI.Ia �\ �OIX.Y � cerGfY that aMi (he 1� day bYkl�rd�, ZO_ I(We) acapied as av ' plarc o( residence the fo8owirg des�aibed real popeAy fv whiU� a Hanestead Pm T Crc�dt is hereby daimed: ��(We) owned ❑ Me buy"ug unda contraG ��g ����������T�� Have a benefidal mTerest m the rrOry tliat is liade (or ihe property tazes m the property ard Cat owns tlie poperry�ramyu�g u���itracl . . .' : � :'. . � ..: , -.+ ,. . € �_ .,- �°.' �. CON7RACLRECORDmt:!�+" ` :�t��' .. , i "- ' S FE.,* i ;�:.:.: � , ,:. - ..., ,. ,. � = � ' " ,. . _ . �nw . v' .' _. ��§a .Y -r„ai M Wy�q an mihact. Fee Sirt4�e owners rema � (�NaS ofbce whae wOrad is remdeC Recad number Pege �b T�g di9ricl (dy, trnm. toMntidA) (��0�- 30�I �O1��15 �-Dafi� ��� o� � ❑ n - �b � o.�. �,.,-n n any porton a �,e r�idcsial smnwe o. u�e I�a �a ��aNng ana (�) �e u,M:nne�aldy a,rtwnm mal gn,m,e is �sed m p�oduce nmma. dea,me u,e �e and pwon d Me property Wifmd m pm�me c�mrne. 20 _ Pay 20 _ ��. a irz r+o�e�a Vatuatian w 535.000 n 6 -a /-[��'