HomeMy WebLinkAboutHomestead_Conklin (2) SIAM FORM!Mr.i!font IRFASIM FORM 31st
.APPROVED BY SFVE MIAMI OF NMI 4%1S.lem PREAWBm BY TIE DEPARME TOFttXTlrn\YRYNt,T FINANCE MH.I-rai
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 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 causes higher tas bills for all:therefore.
® HEA 1344-2009 requires taapavers who receive the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifvine infomlmion necessary to allow county government to better monitor homestead
filings.This information will he kept cunt'.denial and can only le accessed by authorized county officials.The Department of
Local Government Finance will u-c this information to create tools that will help county officials eliminate humcstead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Clevenger. Wilburn J R/Kay L /D5 Ldaoc/ ( Yee St
Owensville IN 47665
2269
Wilburn JClevenger
605 Woodbree State Parcel Number Legal Description
Owensville IN 47665
26-17-12-101-000.693-022 017-00693-00 WOODBREE ADD 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
Owner I First Middle Last
\l\/I I h lq r levreht-gpr
•ng Address(number and street,city,state,and ZIP code) O Sarre as property address
SOS" lJoa CI hrFF_ <wit I t/
Spouse First Middle Last
Atil /e Ver/oie
Mailing Address(Number and street,city,state,and Lm code) ❑ Same as property address
D � l�oadhre S-� l\/IIe,J5vt7-( 7w/ �l7�o
_ _ _ _
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjuy,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 I
PART 4:ADDITIONAL INFORMATION
IP
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