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STATE SOem 53550.real SAO) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.bW PRESCRIBU)BY THE DEPARTME'T OE ILULGOVEE%MENT FINANCE IC 61.1-324.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N.Main Street Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton, IN 47670 - 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 vat that they are eligible to receive the
• benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
T T T filings.This information will be kept confidential and can only be accessed by authorized county officials.The Department of
1 L L\ Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION •
MAY 2 3 2011 Taxpayer Name Location Address
McKannan, Larry D/Carolyn S
0 MAIN
(V\ \v FRANCISCO IN 47649
al ON COUNTY AUDITOR , IIII IIII
Larry D/Carolyn S McKannan II I�I�I_01110111 _IIII�11111011101111l II 0111ll_II_III0111111I�I I �II II_III I II
406E Main St
Francisco IN 47649-9782
lilllll'lli'1illiiilill'lll'III"II11'1I1IIII"I'llli'ill'lllii'I State Parcel Number Legal Description
26-13-20-101-000.061-005/ PT NW 20-2-9.35 AC
, 5
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
r PART Z: TA\PAY _. 1\FORAlaT10\ -- —
•
Ow.._. I First . Middle Last
Mailin�ddress'C(nuut�er and street,city,state,and ZIP code)-- • [Same as property address
7 main �/ 7L--
c f-/7( �9'
Spouse - First Middle a Last
L444CI'6/77 "hit o til) C41-/(ni _
Mailing Address(Number and street.city,state,and ZIP code) , _ Same as property address
4E04 r c49C«.t ill Pim ,ro0 / 171 74 4/
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 maybe liable for back taxes and substantial financial penalties. .. , , ,
Owner yignature - Date
�