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Homestead_McGregor (2) STATE FORM 53569(13!1-10) TREASURER FORM TS-IA APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-22 4.1 IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS' Individuals and married couples are limited to one homestead standard deduction. As the receipt of this . eduction 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. ' PART! PROPERTY-INFORMATION •I',. ` Taspa.er Name Prowl.Address State Parcel Number j.eeal Description: Timothy E/Loree McGregor 10565 E 350 S 26-13-2S-300-000.608-006 PT SW 25-2-9 5 AC C-I OAKLAND CITY IN 47660 Complete and return to: IImII1 DOClDIIQ PLll 11301IIIII 29LU ILhlfl GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 C` ' ' SPOUSe Forst Middle Last /4/02EE ie L ✓rnar,zi,e Mating Address(number and street,city,state and ZIP code) [l Same 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. PART 4rADDITIONAI INFORMATION v . '` " • 1t-1 I L IK D NOV 2 2012 cam c\ GIBSON COUNTY AUDITOR di CLAIM FM :.�l =J FM,:= RTY TAX 'MIT OR ,E4 9_ . FILRG Ita— inL =sIG;u . c; re ing r - Li =ve a ro^ , .1 is —°-zt G 1....�T� ��� �' =•'1 d:'li..�1 C ?X 003- 00 ^°:1 (�: -- � :7n= _L S +- r S- 1 1` 7y C. =��L1Y u'"� 2.i17C1O 5.���°* -Sim uL1°! Q'S°�•'` ani =--a-l-sta. C y, 5m-_ and ..--:D C �rzavi3jm1 re oc'.s ar is iu:,mr-7 L a =,=-t tiL-`_ i he is m toy ths �a cn tr— Z°_` ^°'.•°, •`` 11=5 d npn° -T •-i al = =='t ]A iii Z ! o .liQ-t -n- `sh- • (1) i2) i3) (4) (s) (6) 3 =t --- r.3 1 �_-• �' ^•3. .—mac Q =a e °_-a1 -5-5710 / 7D Y/;'/11111///� SSi o Q ._� r f=__ — Ie m7L-- U///, S`fD /// ire (6) _'._ a Cr rn� -}r �y O..��+.T �.•� "'� f�) �T� t hL +,-nom" = -_ }y ^°:1 (�: -- � :7n= _L S +- r S- 1 1` 7y C. =��L1Y u'"� 2.i17C1O 5.���°* -Sim uL1°! Q'S°�•'` ani =--a-l-sta. C y, 5m-_ and ..--:D C �rzavi3jm1 re oc'.s ar is iu:,mr-7 L a =,=-t tiL-`_ i he is m toy ths �a cn tr— Z°_` ^°'.•°, •`` 11=5 d npn° -T •-i al = =='t ]A iii Z ! o .liQ-t -n- `sh- • (1) i2) i3) (4) (s) (6) 3 =t --- r.3 1 �_-• �' ^•3. .—mac Q =a e °_-a1 -5-5710 / 7D Y/;'/11111///� SSi o N� -. (7) 6 U///, S`fD /// ire (6) .� t s (7) (s) (a) - A7 ION BY N� -.