Homestead_Hawkins STATE FORM 53569(R3/3-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCEJC6-1.1-22-8.1
IINW591 .1MPORTANT NOTICE TO HOMESTEAD PROPERTY. OWNERS*" o--"
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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 identifying
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.
r w.' ' PARTI PROPERTY'INFORMATION`, f -i. .,e*)c r : - a '
Taxpayer Name Property Address State Parcel Number Least Description:
Robert D Hawkins 912 VIRGIL BLVD 26-12-18-101-003.161-028 PT NW 18-2-10 .274 AC,
PRINCETON IN 47670
Complete and return to: I®IIuufuuu]uflU11lluallu1E.u8uujcEDIQUUG11i11
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
� • PART 2i TAXPAYER INFORMATION . . k- :, _°- ^‘1• 's',
Owns First Middle r / last
t C� � KtnS
Mating ddress(number and street,city,state and ZIP rode) r` Same as property address
Middle last
EIiu,.�-1.6... Anrc a.wkln5
Mailing Address(number and street.city,state and ZIP code) 14-tame as property 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 1 Signature Date
ir
0
• CLAIM�FORNOMESTEADPROPERTYTAX
CREDIT/STANDARD-DEDUCTION
t State Fwm 5473 (R6 / 4-03)
' Presaibed by the Departrnent ol Local Govemment Finance
– FORM ' _— IV\� YEAR
HC70 �
lNSTRUCTIONS: See �everse side /or filing instnictions.
–,;�.
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I(VJe) ' certi 1 da o a ch 0
I(VJe) oaupiad as our prindpal place of residence the following described real property for which a Homestead P�� dit is er by lai :
�J I(We) ovmed ❑ Are buying under contraa
iHave a beneficial interest in Ne entiry that is liable for the property taxes on the properry and that owns Ne property or�ir� $d�(��nVect.
Counry
Tamship
�I`(-�.�/6/-oc�l `�
II any portim of Ne Rsidentlal stiucWre w tlre Wnd
of Na property utll¢ed W Produce Income.
Tmcing
Is tha property in Question:
��— �l I O 8�eal properry ❑ Mobile Home (I.Q G7J-�
one (1 � aae Nat immediately wrtounES Nat sW Gure is used to produce inwma, describe Ne use and portion
20 _ Pay 20 _
Lesser of 1/2 Homestead
Valuation a $35,000
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