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Home My WebLink AboutHomestead_Johnson (10) SIRE FORM!1St OCl-0) TITASLRI1 PORN 7.11A Arem*I STATE PORTANT NOTICE TO DEPARTVE4TOF LOCAL GOVERNMUKT FINANCE IC ra elbion County Auditor 101 N Main _ _PRINCETON IN 47670 Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes d" more beneficial,there is more incentive than ewer for homestead fraud.Homestead fraud causes higher tax bills for all;therefore. HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to receive the benefit and to provide additional identrfvine 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 Department of local Government Finance will use this information to create tools that will help coon-officials eliminate homestead fraud. PART I: PROPERTY INFORMATION Taxpayer Name Property Address Johnson, Gayle L 406 E Vine - Fort Branch IN 47648 7742 Gayle L Johnson 406E Vine State Parcel Number Legal Description FORT BRANCH IN 47648-1122 IIIIIII11ulellte IiiIIliInitIIiiiIIliIlittlilIInitliteldul 26-19-18-303-000.370-0216//011-00370-00 31PPT WALTERS ADD PART 2:TAXPAYER INFORMATION • Owner I First Middle Last ne Address(number and Street,city,state,and ZIP code)-- -- — --- ---- — C me Sias property oddms _ -- Spouse First Middle Last Mailing Address(Number and street,city,state.and ZIP code) 0 Same as property address Social Security Number(last 5 digits) Drivels 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 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 • FOFM HC 10 1979 Prescrib¢C By $late Bw�E ol ia. Cammissioners CLAIM FOR HOMESTEAO PROPERTY TAX CREDIT FOR YEAR 19�� To Be Filea in Du0licate SEE BACK FOR FILING INSTRUCTIONS �i��,., ,�._.. ,,2�- � . � �� -��.�%� - �o ��(We) / � � c rtify thai on the tst day of arch, 19_.°1 I, lWel nr_.r_.iinied as nur nrincinal nlar_.P nf fP_.$j(�P_.f1CP �I1P_. fnllnwing described real property for which a Homestead Property Tax Credit is hereby being claimed: I, (We) ❑ owned ❑ are buying under contract ❑ have a beneficial intepr,e�st� �in the taxpayer Property Description in 1�.1-��-a-.+, County � Township Taxing District f6iiy,—Town, Town3hTp): �3F- �a-.��- Parcel Number or legal description shown on tax statement: ��t.�., �Q . 3 i b E%z� 3 i� E�z If buying on contract: Owners name "� �""o1e °""e`� 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: County Township � hereby certify the above statement is true, correct and complete. �i� ., . /� i%i /% /1 � . ,. , , �• C1:y. Siate ana Zip ' Individual either owns or is buying under a contract that provides he is to pay the property taxes on the residence, or has a beneficiaf interest in the taxpayer. - FOR ASSESSOR'S USE ONLY - Land not exceeding 1(one) acre immediately _ surrounding residential improvements Total Land � � � � � Residential Improvements Dwelling ,lUN 27 �g�g �ara9e � ,/,*./5,/�otal . Other Improvements � ( AUDITOR �i To�^' Improvements - Line (6) plus (7) equals (8) I;.by certify ihe above is true. correct, and complete. True Cash Assessed Homestead Value Valuation Valuation (7) / i'fo 3 80 (2) — (3) //�o (4) T��- cs> �7 `LD 16) ��-g . (�) �_ (8) T-c�O-�t3 3so ��- � 11`D' .� /�jjjj��j /�jjjjjjjj/ j�jjj�j�j �� — � � zz� /�I7`J Da:e Date: —��<�