HomeMy WebLinkAboutHomestead_Clark (4)E
Gibson County Auditor
101 N Main
PRINCETON IN 47670
1230
Thomas A Clark
c/o Rick Almon
9718 W 450 S
OWENSVILLE IN 47665 -8964
mF sUm MkV ,1 1A
Individuals and married couple., are limited to one homesead ,tandem dedunirat. As the receipt of this deduction bocomes
more benaicial, them is more incentive than rte, for homestead fraud. IlomesTead fraud causes hieher tat bills for all: themmm.
HEA 1:44- -2009 requires (.apa)e. who rerei,c the homestead standard deduction to terify that they are eligible to ectene the
benefit and to pirwidc additional idemiNing information mte<sary to allow county ememrnent to better monitor hotncsrcal
nlim7. this information will be Lept contidemial and can only 1x accessed hp authorized county officials. The Department of
I ucal Gorentrnent Finance will wt this information to create Wols that will h:lp cuumv officials eliminate homestead fraud.
PART 1: PROPERTY INFORNIATION
Taipacer Name
—etark'fitlorrtas-A
N l rl On)i —h ,
State Parcel Number
26- 10 -33- 400 - 004.404 -021
X
Property Address
RI
Owcnsvillg I\ 17665
Leval Description
005-04404 -00 PT E SE 33 2 12 2.01 AC
D -20
Owner I First
I Q
PART 2: TAXPAYER ]WORMATION
Rfiddle
L.
Last
lg-Im o
u °line Adarms (number and' t, city state, and ZIP code emc a, propery wd:-
q7O
social
Other (please specify in Part 4 below)
Spouse �`',/'1 First
�{ o h
Middle
7:�' s
Ins,, T 1, `r Last
A-1
Mailing .Addrrm (Number and streci, city, stale, and ZIP code) E CA— as property address 7 /
Social Security Number (last 5 digits) Dr1-cr s License /Stale ID Number (last 5 digits) Other pplease specify in Pan 4 below)
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
unlauiully, he or she may be liable for back taxes and substantial financial penalties.
Owner I Signotur
Dale A
FORNIATION