Homestead_Sparks (2) STATE FOR53569 •
(R215-09) •
.s1 TREASURER FORM TS-IAI
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY 11E DEPARTMENT OF LOCAL GOVERNMENT FI\A.NCE IC6-151-22.S.1
- IMPORTANT NOTL �rE4T r HOMESTEAD'PROPERT.Y.OWNERS "5- ,:
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Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
eduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
causes 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. •PARTI; ROPER, Y IN, FARMATIOj4 :citrici •ilu:!.4i ' 1 i,-- +, 1d.,,;ma,c,..-nr"5,
Tastwver Name Proverb Address Slate Parcel Number Leal Description:
Lois Crabtree Etal 304 E BRUM611TT 26-17-12-202-000.162-022 / WILSON ENLG 8 PT
OWENSVILLE IN 47665
complete and return to : IHHi IIII[111311MI I]D]ffIGI[IIIu111111Ef_I(II1011IllllU
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
Owner 1 First Middle Last
5oS e re L41 ���r'ic5
Mailing Address 4 city,state and ZIP I -1 Same as openly address
3o4,r Prune Fr( (JO, 130Y 37s
•
Spouse First Middle Last
Marring Address(number and street.city,state and ZIP aide) Same as property address
Social Security Number(last 5 digits) Driver's License State ID Number(last 5 digits) . state Other(please specify in Pan 4 below)
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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
-,) -; PART4 ,ADDITIONAL'INFORMATION r ,, ::
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