HomeMy WebLinkAboutHomestead_Burchell (2) ,: • STATE FORM S560(R3/8-10) t1FASURQ EDLM T5-IA
- APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY INF OFYARTMEIT OFIA1CAI.GO4T11INEYT FOlANCE IC 6-1.1-224.1
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,
_ HFA 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
T
filings.This information Fnwill be kept this information and can only he accessed will help authorized county eliminate The h mestea fro of
,rL—(,` Local Government iFinance will use this information to create tools that will help county officials eliminate Homestead feud.
PART I: PROPERTY INFORMATION
Taxpayer Name Location Address
NOV 1. 6 2011
.. Burchell, Larry L/Susan C
C.. . y - 30zs1st ST
v �v\ Owensville IN 47665
GIBSiteljeROUNTY AUDITOR` - ,,
Larry L/Susan C Burchell 111010111-011101011111111I11111111011II 1 1101111F 111 II101-11011-11-011011111110111
302 S First ST
Owensville IN 47665-8887 - _
IIIIIIIII'I"IIII"'III'III!IIIII"IIII'IIIIIIIIIII'IIIIIII"III' State Parcel Number ., Legal Description
' 26-17-12-204-000.066-022 PT NE 12-3-12.27 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.
- - ,L-____.__-__.___...—_,--__- -___- PART.?�Tli\\PAYER-INFOR3IXTION _--_--- -
Ov. I First Middle Last
Lac-1-i L-ee l�u rc\ieV l
Mailing Address(nmtber and street,city,state,and ZIP code) Same as property address
P,oI UX 7D1 3bZ S IP7.,Li-..S-1- 01042l1E64( le I,Ni 4tocc
Spouse First - Middle Last
H SO Car() f U rc.Fl e 5 I
Mailing Address(Number and street,city,state,and ZIP code) ' l 'Same as property address
P.ot. 7D1 s. P251- Skye bcuo /- i k at> L-1 ,
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 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
/5 . bi/
PART 4: ADDITIONAL INFORMATION -
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