HomeMy WebLinkAboutHomestead_Davis STATE FORM!MN IR/I.o I TREysUtn FOAM 13-IA
APPRQ'ED By'STATE BOARD OFMt tNT&a N PIUSIIIBED BY nu:DEEARTyn.Yr OF LOCAL C RYMrwT FDA\CE M41.1-rat
Gibson County Auditor
_ 101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON'IN-47670-- - —hidividualc and-married couples are limited-to-one homestead-Aandanl-dedue'ion..As-the.raceipt.of this.dedtrtion.hcwmes__ _
more beneficial.there is more incentive than nee for homestead fraud Homestead fraud causes higher tat bills for all:therefore.
® HEA 1344-3009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receue the
benefit and to provide additional identifyina information necessary to allow county government to better monitor homestead
tilintha this information will he kept confidential and can only he accessed by authorized county officials.The Depanntent of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Sisk, Joseph D/Julie D
308 N Main ST
Owensville IN 47665
2186
RICHARD A DAVIS Jr.
308 N MAIN State Parcel Number Legal Description
OWENSVILLE IN 47665
26-17-01-404-000.111-022 017-00111-00 SMITH ADD 1
_ _. _ .__ ._ -_ _ -__ .. X
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 1NFOR\IATION
Owner I I n First Middle Last
ii ,rch�► �ecX /9/9,il Oy ots- JP.
•11,mg Address(num and street,city,state,and ZIP code) Same ns property address
OF A7 "9.7N ST. pwenJs v,//, 2N 97666—
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) O Same as property address
Social Security Number(last 5 digits) Drive's License/State ID Number (last 5 digits) Other(please specify in Pan 4 below)
. ___ sae
__ - - _ .—. __ _._.. _ .—,---
PART 3:CERTIFICATION a.
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is elieible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,he or she L•. be liable for back taxes an substantial financial penalties.
R -r Siy : .e Date
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PART 4:ADDITIONAL INFORMATION I
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