HomeMy WebLinkAboutHomestead_Brenner I tIATE MMI I!1W IR F5+n5 TRLISUIER FORM TS-IA
AflHMV/XYST1TL&MBDMnrtrYMS,!on PRrrRaarD BY THE DEPARTMENT Or LOtALCAHTLYMrwr FINANCE IC 4.I.I-2:4,1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 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 e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1343-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to reoene the
benefit and to provide additional identifvine informaton necessary to allow county government to better monitor homestead
fling,..This information will he kept contidemial and can only he accessed by authorized county officials.The Depann,ent of
Local Government Finance will use this information to create awls that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Pro 1 em'Address
—. Brenner, John/Denise
- . RI I3ox31-.
V
rancisco IN 47649
8520
Denise Brenner
7142E 550 S State Parcel Number Leal Description
FRANCISCO IN 47649-9133
26-20-05-400-000.129-001 001-00129-00 SW SE 5-3968.0002 AC
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PART 2:TAXPAYER INFORMATION
Owner I t First Middle Last
���isC __ A-1 _ ,JJn.
•te Address(number and street,city.state,and ZIP code) ErSnme as property nddtess--- — —'-
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ 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)
sme
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 elieible 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 42e4,4 for back taxes and substantial financial penalties.
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