Homestead_Lyons STATE RRA1515MMaon5 TREASURER FORM 754A
APPROVED BY STATE BU VD Of ArTDU\75.:009 PRESCRIBED BY THE DEBARMENT 6 LOCAL GOVERNMENT FINASf C 65.1-22./1 I
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
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 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 indentifying 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.
PART I: PROPERTY INFORMATION
Property Address(number and street,city,state,and ZIP code) 2 �
v
a -1 t 7to S 4- -L; a v 7 GY
State Parcel Number
I 9 - #2-0 3 -O3 - 0 0 /. -a 0/- 6
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Dnek
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.
Oln I Signature 1 Date
s Signature t Date Telephone
PART 4:ADDITIONAL INFORMATION
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INSTRUCTIONS