HomeMy WebLinkAboutHomestead_Epperson STATE FORM 53569(11315-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE IC6-1A 22-8.1
'' '= ' . °IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS .i »i.7
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
si eduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
'auses 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.
gritNerl . - - . —TT PARTIF PROPERTY'INFORMATION • ,1>," ,•' i- rr 3# :;-itcg.7.
Taspat'er Name Propem Address State Parcel Number Leval Description:
Charles P Epperson 202 S MAIN ST 26-18-13-704-000.820-026 OLD PLAN 8PT/9PT
FT BRANCH IN 47648
Can:pletc and return to: IE111 1111111EnMIM II1111
Qll11111 OEM U1111
GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
e PART 2: TAPAYER,INFORMATION ,•'-• ' � ��^ ?rt -
Owner 1 Last
/ / First Middle p
Mailing Address(number and street ci'ty.state and ZIP code) `,
0 5o tc/ t"y *A///srete �Same as property address
JODpae First Middle last
MaLirc Address(cumber and street city,state and ZIP code) 1 Same as property address
Social Security Number(last S digits) Drivers License/State ID Number(last 5 digits) State Omer(please specify in Part 4 below)
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1 '.. a-=--c - i } --- - `.PART' CikTi `."'P -ex , ^ '?-i.3-.) s s.'- 474si21
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.
Ovine i. .Lure Date
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