HomeMy WebLinkAboutHomestead_McWilliams STATE FORM 51569(R3/8-10) TRFASURFA FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1.22-8.1
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 thah 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.
•PARTIFPROPERTYINFORNATION '*t =
Taspaser Name Pr perry Address Stale Parcel Number Leta(Description:
Anthony McWilliams 8700 S MEADOW LANE 26-17-29-200-004.520-021 ROLLING MEADOW 17
OWENSVILLE IN 47665
Complete and return to: I®hIUil1UV(II11I]RIV IRID]Il]llEII1V0111IW 19llJllllR O
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 I�
• ' PART 2: TAXPAYER INFORMATION .
Owner 1 First Middle Last
Ane hn n Let A4cl�� ( I ia:m5
Mailing m
Address(number ale street,city.state and ZIP code) /
l ✓I Same as properly address
`/100 5. Me,oidow ,Ln. Owe,jisu • f {ei V90
Spouse First Middle Last
MIS ha- Ann , � 1,d; ;arns
Mailing Address(number and street,city,stale and ZIP code)
may. Same as properly address
(10 s' N1Wow Lin OtOensv; (k An, 4-74,47s
- -. .. ... .. .... -...r� -....�T.., ... ._ • .. 9\ ". • -a• 2 �.. ...:...lam ..
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 -
;•':x i .>^ PRT d;ADDITIONAL INFORMATION '