Homestead_Fetcher STATE FORM 53569(R31B-10) TREASURER FORM TS-IA
APPROVED BY STATE BOARD OF ACCOUNTS,2009 PRESCRIBED BY THE DEPARTMENT OF LOCAL GOVERNMENT FINANCE 106-1.1-22-8.1
.IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS`
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
,!eduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead fraud
•causes higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the homestead
standard deduction al-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 Y INFORMA ION • y-
Taxpayer Name Property Address State Parcel Number Leval Description:
Donnie G Richardson 900 S LINCOLN ST 26-19-19-103-000.646-026 LOWES ADD 32/33
FT BRANCH IN 47648
Complete and return to: n1 alit FiRhT.P't'geRa CnnanBl tamrmmmsa mh ramw•,.
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GIBSON COUNTY AUDITOR, 101 N MAIN PRINCETON IN 47670
PART 2: TAXPAYER INFORMATION.' - . F pr' ets:,'
Owner 1 First Middle Last
Mailing Address(rnanber and street,city.state ZIP code) 44eme as property address
900 S. (in (_,;,\ (\ C bS'cc.- I�cJ ¼ J --
Middle Last
WiQS443n t rkbn1 S JR
Maine Address(number and street,city,state and ZIP code) as property address
.
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 f for back taxes and substantial financial penalties.
Owner ignature Date
•
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