HomeMy WebLinkAboutHomestead_St. Clair (6) STATE FORM:1.1,000/5-4Pl MA-MILER FORM S IA
• AFTOVRO by O set BmRDOF An•RN'tt.eun Ping,lnaD BY 111E DEPARTMEYter LOCAL GOVERNMENT FINANCE MFpt-r-,.l
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N Main
1 PRINCETON IN 47670 IndividuaLs and married couples are limited to me homestead standard deduction.As the receipt of this deduction became
,71 more beneficial.there is more incentive than ever for homestead fraud_homestead fraud causes higher tat bills for all:therefore.
— HEA 1344-2009 requires aapa)ern who receive the homestead standard deduction to verily that they are eligible to recene 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 ran only be aeceased by authorised county officials.The lyepanntent of '
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
St Clair, Lloyd T/Mary A
300 N Third AVE
Princeton IN 47670
1551
Lloyd T/Mary A St Clair
300 N Third Ave State Parcel Number Legal Description
Princeton IN 47670-1014
IIIII'IIIIIII'Il'Illlll iiii IIIIIIIIIIIIIIIIIIIIIII )( 26-11-12-104-002.733-028 019-02733-00 TOWER HGTS 80
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
5=
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing infonnation 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 Signature Date
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FOFM HC 10 79i9
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