HomeMy WebLinkAboutHomestead_Williams STATE FORM 53569(8315-t0) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS.2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1.1-22-8.I
IMPORTANT NOTICE TO'HOMESTEAD PROPERTY OWNERS
•
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
•uses higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
st...Fdard 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.
PART!: PROPER Yt\FORMA ION
Taxpayer Name Property Address State Parcel Number Leal Description:
Brian K Williams 307■V MONTGOMERY ST 26-17-12-201-000.084-022 WAR 2ND ADD 27 PT
OWENSVILLE IN 47665
Complete and return to: I®IIUU,7D1IlIm1111lp7tllmpllIMINIMOIE p1plp8
GIBSON COUNTY AUDITOR, 101 N MALN PRINCETON INI 47670 In11aI1Jlll IL LIl LLtW W
: PART 2:TAXPAYER INFORMATION .
Owner I First Middle Last
arni K u I I, c-VilS
Mating Address(number and street,aty.state and ZIP code)
Same as property address
, - -
First Middle Last
Mailing Address(number and street.city.state and ZIP code) Same as property address
Serial Seomty Number(last 5 digits) Civet's License/State ID Number(last 5 digits) sx Other(please specify in Pan a below)
1
' PARTS: CERTIFICATION - l
I
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
- PART 4: ADDITIONAL INFORMATION
DEC FILED Z
1 1 2012
C:OPAUNTY GIBBON AUDITOR