HomeMy WebLinkAboutHomestead_Willis (4) VT ATE tORY 51w,Re/YWI IAL4SULEA FORM SIA
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Gibson N Main County Auditor
'101 N IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than net for homestead fraud.Ilomestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligiNe to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
tilint_vn,this information will he Lery confidential and can only he accessed by authorized county officials.The Ikpanateal 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
Willis, Dennis R/Deborah Joanne
5132 S Lincoln St
Somerville IN 47683
8441
Dennis R/Deborah Joanne Willis
P 0 Box 346
Somerville IN 47683-0346 State Parcel Number Legal Description
Itltrilttrltnttlrllllllllll IIIIIIIItllltlltt'tllttltl,tl 26-20-02-401-000.292-003 020-00292-00BARRETT ADD 16/17
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
Yl A ) /// S
le Address(number and street,city,state.and ZIP code) ----- —❑Same as propeM adi3ms; -- — — -- --
-o.hox3 (6 _5'13,)• %. kola'obi Sam ac /f/e , fin . '1 -7(ot 3
Spouse First Middle Last
1)42-6/Na h to a4n (.v l 1/15
Mailing Address(Number and street.city,state,and ZIP code) ❑ Same as property address
6„80k 6/3a- ,8, 1-/nko/n s1: SOinell y?& i
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
unlawfitlly,he or she may be liable for back taxes and substantial financial penalties.
Owner I g ature Date
PART 4:ADDITIONAL INFORMATION
FORM HC 10 1979 . To Be Fled in Duplicate
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