HomeMy WebLinkAboutHomestead_Burns (2) STATEFiYW 53569(R2/]On TREASURER FORAITSIA
APPROVED BY STATE BOARD OF ACCOUI/r5.1039 PHF_SCRMEO BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC 6-1.1-22 ?
IMPORTANT NOTICE TO.HOMESTEAD PROPERTY OWNERS
Individuals and married couples are limited to one homestead standard deduction. •;: - h r:j eip+pp.-��tr�j
deduction becomes more beneficial, there is more incentive than ever for homestea.' rand. ' oni sf"ea.
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fraud causes higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers �vh��gceiredhf4
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 moni .r ho .
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filings. This information will be kept confidential and can only be accessed by authgir ki e `o. ''frog
The Department of Local Government Finance will use this information to create tools that will help
county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Property Address(number and street,city,state,and ZIP code)
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State Parcel Number
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PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Lit Mailing Address( mb r anstreet,city,state,and ZIP code) came as property address
Scams:
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) O Same as property address
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Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
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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 1 Signature Date
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PART 4:ADDITIONAL INFORMATION
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INSTRUCTIONS •
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