HomeMy WebLinkAboutHomestead_Arbuthnot STATE FORM 53569(RS9-l0) TREASURER FORM TS.IA
APPROVED BY STATE 11OA5.D OF ACCOUNTS,MIN PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IG6-1.1 22-s.I
IMPORTANT NOTICE TO NOMESTEAD'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 than ever for homestead fraud. Homestead fraud
'pauses 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.
. PAR'1'1: PROPER Y. _`FORMA ION
Taxpayer Name Property Address State Parcel Number beta!Description:
Bryce D Arbuthnot 434 E WALNUT ST 26-18-07-100-000.144-022 PT NW 7-3-11 .34 AC 0-14
OWENSVILLE IN 47665
Complete and return to: I®11ffill011111111111m1lll0mm011111141n1��J�I®
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 ll� Alll 111 J
. :PART 2: TAXPAYER INFORMATION '
Owner 1 First Middle Last
�r Mvld 4r of H--11rot
Mailing Ad r (nunber and street.dly.state and ZIP code)
Same as property address
. - . -. - - .
Slwse First Middle Last
Mailing Address(number and street,city,state and ZIP code) Same as property address
Social Security Number(last 5 digits) Diver's LicenSNState ID Number(last 5 digits) Sue Other(please specify in Part 4 below)
• PART3: 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 1 Signature Date
( )
' PART 4:ADDITIONAL INFORMATION ` '