Homestead_Sisk elite r010153l.,Ru/Hive MASU D FORM TS-IA
.\PFKrWEO BY Sr\TE BOARD OFMrOISTC,m,x PtI-SRIBtOY stir DEPARTMENT OF LOCAL&ASELNMTB't FINANCE M 41.1-4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 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 eser for homestead fraud.I homestead(mud causes higher tat bills for all:therefore.
I HEA 1314-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to Teethe the
benefit and to provide additional identifying informaton necessary to allow county government to better monitor homestead
hIntss.Ibis information will be eery confidential and can only be accessed by authorized county officials.The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Sisk, Orville
305 lyf:umherland�
'on I£ranch IN 47 /
2603 �I /
Orville O/ Sisk 3 05
S' C G!M 6P��4
305 Cumberland — State Parcel Number Leeal Description
Fort Branch IN 47648-1525 /
Itlttllrltllllttrlrtlltrlttltlltltltrtltltlrltllttrrirlrrlllll 26-18-24-202-000.724-02y 011-00724-00LEGRANGEADD213PT
This form MUST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
PART 2: TAXPAYER INFORMATION .
Owner I i7f, - /1// 1 First D A p � Middle % J Last
g Address(number and street,city.state,and ZIP code) ivy Same aasopr perry.address.
3 o S' S +n Q a e/
Thh (3 nand,. Sys' y744V
Each undersigned certifies,under penalty of perjury•,that the above and foregoing information is true and correct and that he or she is eliuible 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
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