Homestead_Hayden •
STATE FORM 53569(R315-10) TREASURER FORM TS-IA
APPROVED BY SLATE BOARD OF ACCOUNTS,20 PRESCRIBED "
09 PRESCBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1 -8.1
- IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
distinction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
'auses 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.
PAR 1: PROPER Y IN FORA"A ION
Taxpayer Name Property Address Slate Parcel Number Leeal Description:
Cynthia M Hayden 409 S HALL ST 26-12-07-303-002.364-028 HALLS 2ND 40 PT
PRINCETON IN 47670
Complete and return to: 1111111 111H11 W 0U®RIIHI1111tf1llll i1®U1®D�m®
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 WU WI IIW 1
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S. First Middle �>,e Last Progerty address
Matting Addr (hunter
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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.
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PART 4:ADDITIONAL 1NFORMMA•PION r. -
FILED
0 Nov 5 2012
rlgcnld COUNTY AUDITOR
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