HomeMy WebLinkAboutHomestead_Barrett (6) STATE FORM 5356S pU/&10) MEASURER FORM ETA
APPROVED BY STATE BOARD OFACCOU.'nS,2C09 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT TESANcu IC 61.14241
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,
FILED 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 bent monitor homestead
filings.This information will be kept confidential and can only be arrrccrd by authorized county officials.The Department of
Local Government Finance will use this information tocreate tools that will help county officials eliminate homestead fraud.
APR 1 9 2011 PART 1: PROPERTY INFORMATION
• Taxpayer Name . Location Address
Barrett, Bradley
GIBSON COUNTY.AUDITOR 413 S MILL
OWENSVILLE IN 47665
6389
Bradley Barrett IIIIOIIIM1101 III0IIII01101I011I0IUI1 II0110II-II_IIIDI_I1QI[0f010If1011101 II
413S Min St
Owensville IN 47665-9297
(�I'��IIIFII111"Il�liltittltl IlittIlll'I'll'll1"II'll1l11l State Parcel Number Legal Description
26-17-12-204-000.404-022/ PT NE 12 3 12.14 AC
•
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..
-1____ . -- ----------. _. ------YdltT 2: TAXPAYERJNFOR:NIAT1ON •
•- First Middle Last_ __
,A D4 e y ° �} A Rig 57-7-
Mailing Address(numb&and street.city,state,and ZIP code) .Stone as property address
17//3 5 /4, LL Dwe ,usuitte y74‘6--
\-)
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) I Other(please specify in Part 4 below)
L 1 I I - I J5t>ce
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 Signature - Date
•
PART 4: AUUITIOh\AL'I:NFORhMATIOhN