HomeMy WebLinkAboutHomestead_Johnson (8)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDR/STANDARD DEDUCTION
Slete Fam 5t73 (R6 / 4-03)
Rrombed by tlro Depa�trnertl d Loril Govmnrtierrt Finaxe
INSTRUC710NS: See re`ersa Nd� bf8np iWOt�cOOnt _
� (we)
I(We) occupied as our principal place o( residenc th following desaibed real
❑ I(VJe) owned ❑ Ne buying under co ct
iHave a beneficial interest in Ne enfiry that is liable for the property taxes on
If byvg om m�iraG, Fee Simple ownefs name
Recorders ofice where wniraq is recorded
Counry Tamship
rNmheri r� w w(� �` descriP�q\�r� _
Y% % `%W b �W V
1/ any poAion o/ ihe resitlential aW cture ar the lantl nd exceeding one (1) ace tlial imrt
of Ne property uli6zed b produce ircome.
FORM � YEAR
HC10
certify thal on the tst day of March, 20_
�stead Property Tac Credit is hereby daimed:
owns lhe property or is buying under a conVaU.
Record number � Page
7acing aistrict (ciry, town, (ownship)
�• J`I /�-l6Ci v�oVeM u Mobile Homo (l.c. 6f. f-71
wrrounds that shucWre is used to Droduca income, deuri6e the �se and portion
20 _ Pay 20 _
Lesser of t/2 Homestead
vauatan a 535.000
SignaWre of Audita
E
Gibson County Auditor
701 N Main
PRINCETON IN 47670
•
219
SIAi£f00.M
rwwsur.�n roa� :zu
hWiriduaLS m�d m�ttieJ muplc are limimd �o nce homcaeaJ Aandard d:duc�ion. As �he rcceip� oi ihiv deductinn bcconms
more benaficfal, tlrcrc is morc incentne ttun e�er for Aomeste:xl fraud Ilo:rn�ead faud cause� higher tac tills (or all: Nercfae.
HEA 1�4-4-?OQ9 requirt� u�pa�ers who receire �h< hanest:eJ sundard �vluction m veri(y �hai �hey are clicible to rec.ne iAe
brnefi� ani ro p�a'idr niditiunal idrntit}'in� in(ormation Mttsilrc ia allw' counry gm'rmmrnl �o Ynr( monitw homesteaA
filin�a- This infomu�ion will br l.ery conF.umiial anA can onlr Fti areessed 6y awhamd coum�� ofTcials� 'fhe Ikpannmm o(
Local Gmmnncm Fieunm will u.e Ihfs fntortnation tu crea:e twls du� will h:lp �wnn' of5riak dimm��e hom<stcaJ freuJ.
�Ilie S Johnson
R3 Box 168
PRINCETON IN 47670-8502
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Ta�naver Name
Johnson, Willie S
�
State Parcel NumAer
26-05-31-400-002.008-027
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Ri I3ox I68 p��
l�
Nincemn I� 37670
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{
Leeal Descrip�tion
OOG0200&00 PT N S- 31 1 70 4.34 AC
C-1 �
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This form MUST be retumed to County Auditor's o�ce. ;
Please do NOT send this form back with your tax payment to the county t�easurer.
,
� F,�I S M;d�< Jal� nsc� ti/
1,� � l I � 2.
t Address (numbcr wd iveet, ciey, smtc, an ZI code) �Snme as property add�s
/�8'7 n!. s�. i�c� �� �r��v,e�,�i� ?ti ��6� o
locial $
�
Oihcr (plcsse spccif in Pan 4 bebw)
� s�„� � P���� m�
digits) � Ot6cr (plcasc specify in Pazt 4
Fach undersigned certifies, under penalty of pzrjury•, that the aboce and foregoing infortnation is wz and co�rect and that he or she is elieible to
receive the homestead standard deduction on this property. Each undersigned ai>o understands that, by claiming additional homesxad deductions
unlawfully, he or she may be liable (or back taxes and substan�ial financial penalties. �
I Sisnnnue � Uam - lblcphonc .
!i /�p S•.1 d�Gvx s� ''�/� /io � �
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