Homestead_Johnson (9) _ STATE Inns:wee(R_1 f+rn TREASURYS FORM 75-SA-. APPROVED BY SIAIE WIAROS*AtT INT[by PRI.ATUBEW BY THE OEpARME(r(i LOCAL rOVELNMrNT FIANCE IC 6-1.1-1:4
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead s andard deduction.As the receipt of this deduction becomes
0 more beneficial.there is more incentive than mgr for homestead Irani homestead fraud causes higher tax bills for all:therefore.
FIFA 1344-2000 requires taxpayers who receive the homestead standard deduction to 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 he accessed by authorized county officials.The Department of
Local Government Finance will sex this information to create Weis that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Johnson, James E/Twyla G
2004 Taylor AVE
Princeton IN 47670
1241
James E/Twyla G Johnson
2004 Taylor AVE State Parcel Number LeEaI Description
Princeton IN 47670-3208
26-12-08-204-002.551-028 019-02551-00 DIKE ENLG 12 PT/13 I t I II It II uI ser III II nr I t III t I n It II I u II t I HI
_ _ _ _ 9999_ _ _ _ __ \ _ ___.. __.
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
Cam as E . \Johnson
�re Address(number and street,city,state,and ZIP code) acme as property address
x004 la_yIo ( Ave TRince"on = V, 1-17670
Spouse ' �7 First Middle 0--0 {I�x t/� Last
TW I R \l 1 . 1 I t� S O ' 1
Mailing Address `'umber and street,city,state,and ZIP code) De‘me 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 liable for back taxes and substantial financial penalties.
Owner I Signature Date
ID