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Homestead_Wright (6)
STATE FORM 53569(R3/9-10) TREASURER FORM TS-IA APPRO\'F.BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-I.1-22-e.1 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 s nndard 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. . PAR 1: PROPER V INFO'MA ION •. Taxpayer Name Property Address Stale Parcel Number Legal Description: R Wright 303 S THIRD ST Jerry 1? ON'ENSVILLE IN 47665 26-17-12-204-000.429-022 WAR 3RD ADD 39 PT Complete and return to: I®hloilQ1111011m11�1©©®a 111MIMDIlf� GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670 PART 2: TAXPAYER INFORMATION _ Owner 1 First Middle Last 37,c_RgY /?4y Gv// G i7/ Matting Address(nunter and street.city,state and ZIP code) Same as property address P. a. ,d X 75-1' OA teeigyi1f4i Pti 97G6f • 1.-yfrtr ciRiofT Mating Address(number and street,city.state and ZIP code) Same as property address Id- g e K 757 01-14•4-1 victi, •,V fV 5— . 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 Si lure Date \, -. Nov 5 2012 GIBBON COUNTY AUDITOR