HomeMy WebLinkAboutHomestead_Johnson (10) STATE FORM 555M■R:I YYI Its S1URFOte".T}IA
.APPRTWEO BY 555M BO.ARDOE.SRCNMi!w. PRLARIBEDBY mr.DFPARIN:Dtf OF LOCAL nArRNMn.T FPU]CE IC t.t-U4.1
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
0 more beneficial,there is more incentive than eser for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1344-20439 requires taxpayers who remise the homestead standard deduction to verify that they are eligible to receive the
benefit and to provide additional identifying information racessan-to allow county government to better monitor homestead
filing>.This information will be kepi confidential and can only he accessed by authorized county officials.the Depannent of
Local Government Finance sx ill use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
Johnson, Edwin Eugene/Viola
Leona
1236 S Gibson ST
Princeton IN 47670
1543
Viola Leona Johnson
1236 S Gibson St State Parcel Number Legal Description
PRINCETON IN 47670-3004
Irlttilrttltllt tlt ttill Ilt iltt tllttttltt ltrlit tllrr ilr rti 26-12-18-203-001.364-028 019-01364-00 SS ADD 136 PT
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
�tg Address(number and street,city,state,and ZIP code) ,me as property address
i 23 G „i -�-t-4-n---d-i ,,, yLC t - 't 7 6 7n
Spouse First Middle Last
Mailinc Address(Number and street,city,state,and ZIP code) ❑ Same as property address
Social Security Number(last 5 digits) Drivers License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Sax
PART 3:CERTIFICATION ' -- ---�� --
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is elicible 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
FORM MC 70 1979
Presui�ea By State Baa�a ol iax Commissioners
Ta Be FileC in Duplicate
CLAIM FOR HOME�iEAD PROPERTY TAX CREDIT FOR YEAR 192L ,,;/
� o(3l�y-D
OG I/�SEE BACK FOR FILING INSTRUCTIONS ��/b_ Q
! 7
�We) `�`- certify that on the tst day of
v�rch, I, (We) occupied as our pr cipal place of residence the following described real property for
which Homestead Property Tax Credit is hereby being claimed:
I, (We) $i owned
❑ are buying under contract
❑ have a beneficial in(/t�_ rest in the taxpayer
Property Description in .C"/���-v County ���-� Township
Taxing District (City, , owns ip): '
Parcel Number or legal description shown on tax statement:
.� ��-� / �� ,�1
If buying Ofl contract: Owners name ��� simv�e owne.�
Contract recorded in Recorders Office - Record
If any portion of the residential structure or the land, not exceeding one (1) acre that immediately surrounds that
structure is used to produce income, describe the use and portion of the property utilized to produce income
Any other counties in which individual owns or is buying real property:
certify the above statement is true, correct and complete.
County
Township
ano Zio �e
Individual either owns or is buying under a contract that provides he is to pay the property taxes
on the residence,.or has a beneficial interest in the taxpayer.
FOR ASSESSOR'S USE ONLY -
Land not exceeding 1(one) acre immediatel
surrounding residential fj�o�m ts � �
e
Other Land d6
Total Land
Residential Improvements ��� 2'' j979
Dwelling
� ����ti���arage
�� � AUDITOR Total
Other Improvements
Tr Improvements - Line (6) plus (7) equals (8)
I�by certify the,�tiove is true. correct. and complete.
�
True Cash Assessed Homestead
Value Valuation Valuation
(�) yD0 /�o
(2) — —
(3) �/ o o /3 0
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Date: ----S�z' / 10
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