HomeMy WebLinkAboutHomestead_Potts (2) %TATE m[M,!!N,t'l Yu.) TUMULI/FORM 73-IA
.APPROVED BY C1TTE(WARD OF Mr,AIM C.wv Pm-Dam BY nit DE?ARMErr(FtOtAL raottMMtnn FINANCE inI.I-r-..l
Gibson County Auditor
101 N Main. IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.There is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
• HEA 1341-2009 requires taxpayer who receive the homestead standard deduction to verify that they am eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept cnolitiential and can only be accessed by authorized county officials_The Depanntent of
Local Government Finance sill use this information to create tools that will help county officials eliminate homestead thud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Potts, Mary L- Life Est Etal /a 935E 75-IS
Rr 2 2 l�
- __ _ _ _ . _ ___ ___ Oakland City IN 47660 --
1698
Mary L Potts
12935E 75 S State Parcel Number Legal Description
OAKLAND CITY IN 47660-8130
Ithnllntltllntllllliutllt1nu11tl11r11 11n1t1t1nt�� 26-14-17-300-000.783-006 003-00783-00 FT NE SW 17-2-89AC
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
�1 cry L P 0 OuS
- Qe Adress((
dnumber anctstreettin?,state,and ZIP code) - -- - -- Same as property address . ' - ' - '- • -
93 SE 25 3 Os 1 >n._I Ct - Zh , y o
Social Security Number(last 5 digits) Licence/State ID Number (last 5•1 diet(please specify in Part 4 below)
a - `T92/ 7Gr8i
Spouse First-_ Last
Mailing Address(Number and street,city,state,and ZIP code) C Same as property address
a•`
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
sue
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
unlawfully,he or she may be liable for back taxes and substantial financial penalties.
Owner I Signature Date Telephone
97a4,04( C -73-7 o (9/2 ) 2 y y- 3 97s—
Spouse Signature Date Telephone
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PART 4:ADDITIONAL INFORMATION
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