HomeMy WebLinkAboutHomestead_Riley SLATE FORM!TNIR'I se,' TREASURER m0.43-IA
APPRovED DVStAThRNRn or.MMlt•TS.V.„ PRUSItIFD BY Mir DEPARTMINTor L(MAL GOVERNMENTra:ASCE In-ii-E4.1
Gibson County Auditor
= 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead aandard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than eser for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 134-120119 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 conlidential and can only he accessed by authorised county officials.The Depanntent of
Local Government Finance will use this information to create 4ol3 that will help county officials eliminate homestead find.
PART 1: PROPERTY INFORMATION
— Taxpayer Name Property Address
Riley, Don Paul/Sarah Etta /0a . GU
Francisco IN 47649
4615
Don Paul/Sarah Etta Riley
102 S Watkins State Parcel Number Legal Description
Francisco IN 47649-9282
I I II III I II I I I I II I I II�� � � �,1 ,20-103-00 0.247-005 012-00247-OOCOLLINS ADD 7l6
r rr rrr r rrr tr r rr r rrrt r tt ttr r r rr �-,
� x
APR 1 5 ZUIU
/e _ .
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
fi n p 4 ott L /) /z_��
mg Address(number and street,city,sate-,and ZIP code) - - - - - - __ - Q-Same as property address � - —
/ o \. !.v./Er/owe -577: F11 --71/6 is GO, //' "L' ). 7 G-- e
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
unlawfitlly,he or she may be liable for back taxes and substantial financial penalties.
Ow Signature /� Date
•
n, CLAIM FOR HOMESTEAD PROPERTY TAX