Homestead_Wallace •
J STATE FORM 5JSO OG/&10) TREASURQ FORM TS-TA
• . .. APPROVED BY STATE I ARDOF ACCOUNTS.301 FRESCRIBID BY THE DEPARTMENT OF LOCAL GOVERNMENT FINk'RE IC 61.5-IIdl
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street , Individuals and married couples are limited to one homestead standard deduction. As the receipt of this deduction becomes
' . ..Princeton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
T 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
Slings.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 l: PROPERTY INFORMATION
MAY 6 2011
Taxpayer Name Location Address
• C. .n .y - Wallace, Larry/ Kathy
GIBSON COUNTY AUDITOR
,, PATOKA IN 47666
212
Larry/ Kathy Wallace 111010111]DIIDIII 111 III 1100111011 DII I001101E11_ 11111111 10111110111 1111
449E350N
Patoka IN 47666-9227
I"IIIlttll"III'I'191II"I'I'III'IIIIIII'IIIIIII'IIIII"I"VIII State Parcel Number Legal Description
26-05-48-118-000.918-018/ PT.LOC 1181-10 4.00 AC C-1
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 r
I 'First - Middle - Last
Larry bale. (jJat (aCe-
Mailing Address(number and street.city,state,and ZIP code) I.X.I Same as property address
444E • 3Sa IJ aaf0i4 1 In. /7666
Spouse - First ` Middle Last
KO:al Ruin LiallacC.
Ma'limg AddresT(Number and ivut city state,ants ZIP cdde) - - - _ - - gSame as properry address
4490 3S'bN PajvKal Z, . 47440(9 .
- .
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.
Ow a I/1.Lure Date
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