HomeMy WebLinkAboutHomestead_Dickinson STATE FORM 53569(RJ13-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 106-I.I-22:8.I
IMPORTANT NOTICE TO HOMESTEAD PROPERTYOWNERS
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
it uses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
s a dard 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.
'P • II PROPER Y :'FORMA ION
Tamaver Name Property Address State Parcel Number Legal Description:
Betty E Dickinson 20S w\1'ARRICK ST /
26-17-12-201. 00.130-022 OLD PLAN 51 PT
OWENS\'ILLE IN 47665 1 �m mIt sf Complete and return to: I®III!']��IDlDImlll]D]ffuJ[]Itulll'L'0DO 1®1d MIMI
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
. . . .PART f: TAXPAYER INFORMATION '
Cromer I First Middle last
�� y iv e.,/y4 /A cll.-14.s t?>1
Mailing Address(number and street,city.slate and ZIP code) same as property address
2o? GJ'�% -rnlCk 572 7; tO(9°x d CiDe i iii l,, n 9-26Z5-
,
Paddle First Last
41/fr
Mailing Address(number and street,city,state and ZIP code) Same as property address
Serial Seninty Nurtba(last 5 digits) Dives License/State ID Number(last 5 digits) Sian Other(please specify in Part a below)
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
( )
'PAR'I':4:ADDITIONAL Ia\FOR\I$TION —
i A i ii-4, I
• NOV 2 ?OI?
c. .rn �4` n
GIBBON COUNTY AUDITOR 11