HomeMy WebLinkAboutHomestead_Burke STATE FORM 53569(0.3/8-10) - IRFA:LRFARLM TS-IA
APPROVED BY STATE BOARD OF Ar uNTs SIfl PRESCRIBE BY THE OFPARr5Evr OF ID[AI.CAVIASMEYr FINANCE IC 6.1.1-224.1
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS .
101 N. Maim Slfeet- . _ Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
Princeton,IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
T �I HFA 1344-2009 requires taxpayers ate)receive the homestead standard deduction to sniffy that they.are eligible to receive the
1 bcncfil and to p aide additional identifying rece information necessary to allow county wdemmenl to better monitor homestead
filings.This information will be kept confidential and can only be accessed by authorized county of5cials.The Dcpir meat of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
JUN 2 9 2011 PART 1: PROPERTY INFORMATION
Taxpayer Name Location Address
C.'J.Ny Burke, Joshua P
•
GIBSON COUNTY AUDITOR 107 Ben
Haubstadt IN 47639-8120
2328
Joshua P Burke 111.1LIII]OIII 111101111Ti _DII111111IIILIIII_II_IIIQI01
107 Ben St
HAUBSTADT IN 47639-8120
'1Ilrli'Il11iill1llttllllrl1t1Itiltiillt11tllillltrlllltlllliti State Parcel Number Legal Description
26-18-36-402-000.251-009 WEST HGTS 14 PT/15 PT
—_— .
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.
F • PART 2: TAXPAYER INFORMATION
._:I First Middle Last
Mailing Address(number and street,city,state,and ZIP code) - "Same as property address -
Spouse First Middle - Last
Mailing Address(Number and street,city,state,and ZIP cdc)—_ _ . . —�.Same as properly address - _..--
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) - • Other(please specify in Pan 4 below)
1III III
I sure
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
)
PART 4: ADDITIONAL INFORMATION • -