HomeMy WebLinkAboutHomestead_Johnson (22) STATE FORM 53KIR2/ TREAS11REA FORM 75-IA
VPRWA'EW BY Srx1E lYMRD OrMR(LTS.9M luuAA18IPBY PIE DEPARTMENT OF LOCAL GovaNmrw'T FA'AA'CEtc
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 become
®
more beneficial,there is more incentive than tier for homestead fraud.homestead fraud causes higher tax bills for all:therefore.
HEA 1344-20®requires taxpa.era 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 count'government to better monitor homestead
filings.This information will he kepi confidential and can only be Emmett by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART l: PROPERTY INFORMATION
Taxpayer Name Property Address
Johnson, Pamela S
RI
Patoka IN 47666
392
Pa era S Johnson
2 38 W 450 N State Parcel Number Legal Description
PATOKA IN 47666-9037
26-04-14-300-002355-018 010-02355-00 SE Sw 14-1-1 t 5 AC
Itl,tl\It 11t11tttlLttllttLl, �rrri t
11111111111111111111
•
Spouse First . Middle Last
S4 mr►1 ; Pi . Ohl Sd11
Mailine Address(Number and street,city,state.and ZIP code) R6me as property address
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 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. •
Ow Signature Date
PART 4:ADDITIONAL INFORMATION
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDMSTANDARD DEDUCTION
State FOon 6473 (137 / 54)
presaiload by the Department of Local Government Finance
See reverse side for riling instructions.
I (we) 2C - 9L-� / certify th9iWW41'%iWP10'fyM4i�RlW"
I (We) occupied ;;ff principal place of residence the following de real property for which a Homestead Property Tax Credit is hereby claimed:
OIM I (We) owned ❑ Are buying under contract s7
nave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract
RECORDEO��.'
r_CONTRACT,
If "ing on contract, Fee Sirnple ownaft name
Recorder's office where contract m recorded Record number Page
11
ll '. : . -
-i-
bNm��'ga
C"Z
Tar
Tid7_y,kic
(r, l0
POM491 nurnber
J�-'
properly
Reel PUP" ❑ Mobile Horne (LC. (i-1.1 -7)
If any portion of the midential structure or the land rKA exceeding one (1) eae thhat unmedialely surtounds thel b used to produce hoorne, describe the use and portion
of the property utilized to produce in=ne.
-20
OiZOPEMOWNEDBYbL�4]MAjittik6THItR�
1 � C -
County
Tovinshlip
County Township
I hereby certify the above statements are true. correct and co 113. �Mro
of dai
9- (number and Street crt6 state, ZIP code)
sTANoARD'DEDUcTtoNALCowANcE
20 _ Pay 20
Lesser of 1/2 Homestead
Valuation or MODO $
SViaft" of Auditor Date signed
JRUEzTAX-%"' a
'ASSESSED VALUE
F1OMFJsTFJID
Y`' MON41ESI
2>
t0
-20
Land not exceeding I (one) acre immediately
surrounding residential improvements.
(1)
R,
1414
Other land
(2)
"NA
Tdaf land (firie I pkis rme 2)
(3)
Dwelling
(4)
4 La"e ,
—XIN
Residential improvements or Annually
Assessed Mobile I Manufactured! 1-lame
Ga e
rag
A
(5)
e
Other improvements
(6)
7i
Total irnprovements (Aria 4 through Eno 6)
(7)
Total value (line 3 plus Ene 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signabire of Auddor
Date signed
sTANoARD'DEDUcTtoNALCowANcE
20 _ Pay 20
Lesser of 1/2 Homestead
Valuation or MODO $
SViaft" of Auditor Date signed