Homestead_Crabtree (3) SLATE FORM!!HIR_I YNI TflASURER FORN TS-IA
g IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS BY STATE.BOARD OF PitYCNTS.204 PITSCPMED BY TM-DEPARraNTOF LOCAL GOVERNMIT7 FINANCE/C4-1.1-224.1
Gibson County Auditor
101 N Main
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.Iomestead fraud causes higher tax bills for all:therefore.
• HEA 1344-2109 requires taxpayers who receive the homestead standard deduction to verify Out they are eligible to receise 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 he accessed by authorized county officials.The IXpanment of
Local Government Finance will use this information to cream trots that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Crabtree, Dennis D .
3rd/Clark
Owensville IN 47665
2288
Dennis D Crabtree
Po Box 408
Owensville IN 47665-0408 State Parcel Number Legal Description
I,Irrlltrrl,Ilr,rllrrrl,1,Iltttrlrtlll,ttlttl,lltttlrrlrrrl,ll 26-17-12-202-000.007-022 017-00007-00 OLD PLAN 15 PT
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
Owne I First �^. Middle /� Last
lS D�Gll a an 4-111 CG
g Address(number end stover,city.(rnss and ZIP code) Same as property address
/101/1/ 3i O /L `e?6�s�
_
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security-Number(last 5 digits) Drivers LicenscfStarc ID Number (last 5 digits) Other(please specify in Part 4 below)
_ set
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
rece' - the homestead standa d deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
tin a ' Ily,he or she may 'abl r back taxes and substantial financial penalties.
1 , ..--mature Date
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PART 4:ADDITIONAL INFORMATION
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