Homestead_Johnson (7)��
Gibson County Auditor
101 N Main
PRINCETON IN 47670
2007
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InJiriJuaL, mW mvriN cnupks arc IimiiM io nce honx�eaJ xandnN drdu.iinn..�s Ue n�ipi of �his deduciwn beconres
merc bcneficial. �hrre i. morc incentire thm e�er (or humesrcal fiaW. Home.ieacl fmud causs hi�hzr �as billi tw all: therefaz.
HE.1 13ii-71109 requim mipa�en .cho r.ecire the hexneneaJ >mndard deJunion �n .enij� ihn the. arc eligiWe w mcene �h<
brnefit anl ro prtn'ide aJAilional iAentin'inc infomcitiun nemvn ro ailox� county emrmmer,i to b:urr muni�or honra�e:Hi
�ilin��.'llii� inlnemaiinn w�ill M Aq4 mnliuenlial anA can nnly fr arct>ud hy aWhnriml oounty nl7ici�.ds- "fhr Ik�vnnmm nl
Lucal Gmemmem Pinance ��ill ux< Ihis infortnation N arwte twls tiwt will h;:p cuun:v ufficials elimin.ve homcucaJ (reud.
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Taxnerer Neme Pruoem� Address
Johnson, Magdalen
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RI Bat9S
Princeion IN d7670
gdalen Johnson \
929 S 100 W Stare Parcel NumAer Leeal Description
�PRINCETON IN 47670-9345
I I II I II I III I I II I�l., I I I II Zs-ii_zs-ioo-oo4.»i-oz� 006-04171-OOPTSNW 25211 6.57AC
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� �9�ys �onc�v' rl��d�c��a��� %�
Socal Swurity Numbcr (last 5 dieits) Driver's Licaise/Stale IU Numbcr Qast 5 digib) Other (plesse speciF' in Part 4 below)
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S{wu;e First Middlc Last
Mailim; Address (t.umber and svcct ciiy, slate, nnd "LIP cuJe) � Same as pmprny addres
Social Stturity Number (lazt 5 digiu) Dm•ers Licrnse/Sw[c ID Number 11a:t 5 digits) Othcr (plcase spccif�� in Pan 4 bebw�)
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Each undersigned certifies, under penalty of perjury, that the abo��e xnd foregoing infortnation is trve and corrzet and that he or she is eligible to
receive ihe homesiead s�andard deduction on this propeny. Hach undersi¢ned al;o understands that, by claiming addiiional homestead deductions
unlawfidly, he or she may be liable (or back taxes and substantial financial penalties.
Owner I SignaWre Uale 7'clephone /
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Spoux Si�namre Uaic Telcphone
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