Homestead_WatkinsSTATE FORM 53SM rU1/ 10) TREASLRFA FORM T"A
APPR ED BY STATE BOARD OF MYUU.MTS atl3 FRESCRIBED BY THE OEPARTMEN3 OF LOLL GOVERNMEVr FMANCr If 61 I.13 -RS
Gibson County Auditor • a • 1 • 1 1
101 N. Main Street Individuals Bud married couples are limited m one homestead standard deduction. As the receipt of this deduction becomes
Princeton, IN 47670 more beneficial, there is more incentive than ever for homestead ftaud. Homestead fraud causes higher lax bills for all; therefore,
FILED HEA 1344-2009 an mile a additional wtm ring in the homestead standard deduction to gmer ;hat they are eligible OT homes he
® benefit and to pra.ide additional identifj'ing information nettssary m allow county gmemmeet m ben" 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.
APR 18 2011
GIBBON COUNTY AUD TOR
1681
Bradley A Watkins
315 W Washington
OAKLAND CITY IN 47660 -1449
1111 111111pIIIIIIIIIIIIIIIIIIIIIIIII I I IhttlhJIIIII ,II I It11tIt
Taxpayer Name
Watkins, Bradley A/Amee R
State Parcel Number
Location Address
315 W Washington ST
Oakland City IN 47660
Legal Description
26- 14 -18- 302- 000.190 -00/ PT NE SW 18-2-8.17 AC
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.
PART 2: TAXPAYER INFORNIATION
First
Middle
j Last
w
Mailing Address (nmb,4 and street, city, state, and ZfP code)
Same as property address
Social Security Number (lazt 5 digits)
lhivers License/State 1D Number (last 5 digits)
Spo s First
Middle
Last
Mailing Address (Number ind street, city, state, and ZIP click)
214jame as property address -- — - - -- - - -
1CJ
Social Security Number (last 5 digits) Ihivers License/State 1D Number (last 5 digits) Other (please specify in Part 4 below)
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
��
s
S m pate
Telephone
PART 4: ADDITIONAL INFORMATION