HomeMy WebLinkAboutHomestead_George STALE FORME.M'IR_I Et TPFASURLR FORM 75-IA
Gibson.County Auditor
APPROVED
IMPORTA ADIATENTS.21ED PITSCREBED BY 71111
NOTICE TOHO1ESTEAD DEPARTMENT
PROPERTY ROWNERS 1_
101 N Main
PRINCETON IN 47670 Individuals and married couples are limited to ntle homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than nee for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
go HEA 1544-2009 requires taxpayers who teethe the homestead standard deduction to verify that they am eligible to receive the
benefit and to provide additional identifying information necessmy to allow county government to better monitor homestead
filing_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
Taxpayer Name Property Address
George, William W
RI
PATOKA IN 47666
152
William W George
329 S 5th Ave State Parcel Number Legal Description
PRINCETON IN 47670-3500
26-04-25-300-000.623-020 PT W SW 25 1 11 &PT E SE 26 1 11 1.321
t H ut I t I I I nr III I I u I t I r I I ut I I ut I t I n I t I n I I ur I AC
. - _-- )?_____
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This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2:TAXPAYER INFORMATION
Owner I First "" ,�, '�'' \� ��
Middle [, Last
tea
iloug Address(number and s city tate,and ZIP code) ❑ Same as property ad
k11
Spouse Firs" Middle Last
Mailing Address(Number and street,city,state.and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
_ sloe
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 I Sig tore Date
,_ .„,,,,,..„.„,a;17/‘-
Spouse Signature / Date Telephone ( )
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PART 4:ADDITIONAL INFORMATION
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