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Homestead_Johnson (12)� Gibson County Auditor 101 N Main PR�NCETON IN 47670 0 6347 �IAI[ H10.4 �� W IP_ /)+MI 111(ANW fp0.V i}IA hWiviJuaLc anJ nurriN coupkr. are IimimJ w oce Iromc�tnd �tandaN deJu.iion. A> Ne receipi ol' Nis dcdunion beconrc� more bene5dal. therc i. morc incrn:ne ttun e�rr (er homn;ead fraud. liomesttacl Gaw1 causs hi�hn ia� bills ior all: drc¢fare. HEA IiJ3-?009 requim �aapa.en who r.ceire ihe hanrneaJ sundard Ac+luc�ion m verifi' tlui ihey arc <IieiNe io meene �M1e benef� an1 w pnn'idc ;xldi�ional idrnuiying informauun nimsary ro alluu� countt grn'rmment �u be�mr moniror Iwmrneal tilin��. Ihis in(ormatinn will hr Aryv ronlldervial am1 can only lz arte:uA hy aulhnrvnl munly n0iai�aia.'fM1e Ikrynmcm nf 1_ucal Gmemmem Fimnce oill u.e ehis in:ormaeiun ro erca;c muls ihat �rill h:Ip cvunq� ufficials elimim�< twm<weml tiauJ. � � � � � � Taxoarer Name Pruoem� Address Johnson, Donald/Linda Sue Donald Johnson 11176 W 850 S OWENSVILLE IN 47665-8872 ���n��ni�i��ui��in�����n�i�n�i�in�u�i��n�����ui�n�� Address (number end �vmL city, seate, snd ZIP code) �ii�� � �- O�.,c cial Srcurity Numbcr (last > Jigi¢) Drivcri Address (Numbrr and strce4 cin�, sWic, and ZII' cuJe) 7G LJ, 8;S O S Stturiry Numbcr (last 5 digits) - 1 N � �{ b State Parcel NumAer 26-17-20-300-000.298-021 � 350 S O\tlFNS\'I I.I.Ii I\ ;766? Leeal Descriptian 005-0029&-00 PT SE SW 20 3 12 4.528 AC D-20 Samc nc propcny nddress �pltmc spttif in Pan 4 below) J� �+nScn n 1-1_Same ns propeny nJJre�s L`7 Qu:t 5 digi�s) � O�hcr Ip�asc spccify in Pan: bclow) Each undersigned certifies, under penalry of perjury, that the abo�•t and foregoing information is we and correct and that he or she is elieible to receive the homesiead standard deduction on this property. Each undersiened also undersiands thai, by claiming additional homestead deductions unlawfully, he or she may be liable fur back taxes anJ substantial Gnancial penalties. �u'ncr I SignaWrc Datc 7'clephonc