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Homestead_Austin STATE FORM 53569(R3A-10) TREASURER FORM TS-1A APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-21-8.1 - IMPORTANT NOTICE TO HOMESTEAD PROPERTY'OWNERS - ' -..g;;'", Individuals and married couples are limited to one homestead standard deduction. As the receipt of this •duction 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. . PARTI PROPERTY INFORMATION ;rre .,.?,.'• "s.,- - ' Taspaser Name Propem Address State Parcel Number Leal Description: Richard D Austin 207 N SMITH 26-I8-07-101-000.325-021 PT NW 7-3-11 .47 AC OWENSVILLE IN 47665 1415 0,9, L0- iS-07-lb t oeo-,3a - ea a Complete and return tn: Innfln!r,1DRfIRp7 rgplbrr ITA rlaf2nll g-�rrpfp I(Iflllp litn iuuuuuauuflnlul uIAllulalmluuivaut111uouuuhln IM GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 ` ; r . PART 2: TAXPAYER INFORMATION: - ` - ii Owner 1 First Middle Last 1R icharcL Ib e n n-1 s .�us-�-i Ai Mailing Address(minter and street city,state and ZIP code) �1 Same as wocerty address oq�\ • 58oq to Sso) S ( &o1 Nsm-1 - H) - twensot ( 1e, A) 4 6,S k Spouse _ -• - -- • Middle _ Last ,LQa r e l - � A �t tsl i Al . Mailing Address(number and steel ay,state and ZIP code) ✓Sartre as woperry seeress qa/ 5809 tut 6-50 S ( 7N.smi -th) Qr.t}�eins't1L�.P� T� 47(65 t : . U t , . -< .PART3:CERTIFICATION 'r .:_>. ' j __:,t% t--.-.,a^, s Each undersigned cenifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is eligible to receive the I 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. OwnePICA 1 Si gnature Date It it. (Lbtsa tA- //- /- % ' ti i44 .t.4a4 l 4'.1. u. %. --•& "PART 4:'ADDITIONAL,INFORMATION},; 'at,a$` S 4r 1'.,1`: :Zit' _Vii:..! '`' FILE • NOV 8 2012 GIBSON COUNTY AUDITnR