Homestead_Johnson STATE FORM r3NIL IHYI TREASVann PORN iET A
Alt rRovEB BY SISTE B[MRO OF Ar rRt\TS.als FAr3Alam BY THE OF,.a1MEMrOF LOCAL tOSCR.NNFAT RJNct IC 6-1.t4-RI
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 eter far homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
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HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to recehe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only he accessed by authorized county officials.The Ikpanntent of
Local Government Finance will use this information to create tools that will help roomy officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Johnson, Bonita S
— 917 S Prince ST
Princeton IN 47670
1410
Bonita S Johnson
917 S Prince State Parcel Number Legal Description
PRINCETON IN 47670-2627
26-12-18-102-000.766-028 019-00766-00 SS ADD F
it1u��ut�t))n�I1P���u ut�t 1t11nn1t11nt1ut111Ill1ttt)1)
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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 First Middle Last
6041 1-1-a. 0 • Jo o k h soul
4,Address(number and street,city,sote,and ZIP code) ame as property address
`117 S. Pri 1,c.e_ I )0Vi k c-€J' I L r,d, '-/?CPO
Spouse First Middle Last
Mailing Address(Number and street,city,sate,and ZIP code) 0 Same as property adds
Social Security Number(last 5 digits) Driver's License/Sate ID Number (last 5 digits) Other(please sps.ify in Part 4 below)
(Sate
PART 3:CERTIFICATION k. - '
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.
Owner I Signature Date
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d�a � CLAIM FOR HOMESTEAD RROPERTY TQ1C----' v M veaR
:,'� y ; CREDIT/STANDARD DEDUCTION � ��
.� State Form 5473 (R2/1-90) ,,,,,,,, _ �
� �'°�• � INSTRUCTIONS: See reverse side for filing instruction� """' __
CERTIFICATION STATEMENT
I(We) occupied as our principal place of
Property Tax Credit is hereby claimed:
❑
�
�\ certify that on the 1 st,�ay f�r
the following described real propertyry �fo/�r`which a stead
� (We) owned ❑ Are"'6Uyi�Qg�r�9�� contract
Have a beneficial interest in the entity that is liable for the property.'"���s on the�� ''v
property or is buying it under a contract. � '�' '
�
County
CONTRACT
on contract. Fee Simple Owner's Name
office where contraci is recorded
Legal
owns the
:OR�r ' ' , ` .
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li ji ' ,, ,
% � � i Aecord Nu��mber �Page��
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PROPERTY DESCRIPTION� `
� � Taxing District (City, town, township) .
l Y I`'���_( b�O I JJ (.l Y�c.c�l i
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that struc
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township ' County - To�nchip
I hereby certity the above siatements are true, correct and ,
, city, state and ZIP code)
Signature � ;
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
' VALUE
Land not exceeding 1(one) acre immediately � �
surrounding residential improvements (� )
Oiherland (2)
Total land - line (1) plus line (2) (3)
� Residential improvemeMS - Dwelling � (4) � � - - - - � -- - �
Garage (5)
Other improvemeMS (6)
Total improvements - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 1/2 Homesiead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 7 991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 7/2•Homestead
Valuation or $2,000 Valuation or $1,500 Valuation or �7,500
Signature of Auditor Date Signed
-�P n� n,. �1� 1(l'1 l.�? ���— 5- 3- 9 I