HomeMy WebLinkAboutHomestead_Johnson (14) STATE FOAM!)!wIR_/fun MAMMA FORM:S-M
APPROVED In SI OE RMRnM MT,RPT'.Tr PUYAmrU BY T2 DEPARTMENT Or LOCAL nOVECMEFr FINANCE R'6-1.1-1:4.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homesead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ner 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 identifying information necessary to allow county government to better monitor homestead
flings.This information will be kept confidential and can only be accessed by authorized count'officials.The Depanntent of
Local Govenunent Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address i.
Johnson, Randall W/Karen
7950 S Andec Ln
FORT HRANCI I IN 47648
2983
Randall W Johnson
7950 S Andee Lane State Parcel Number Legal Description
FORT BRANCH IN 47648-1545
26-19-19-103-001.200-026 SOUTHGATE 14
III nllutltllutlullu lun11t lrltl'Irllltlt riii Jl
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
'.' A1.3bAt_L. Rik Y/0e 3 0NNsoiJ
.ng Address(number and street.city,state,and ZIP code) ,Snore as property address
' `1950 5. Air I^rJ F. BaANC#-/ "N , 7614 82
Spouse First Middle i Last
K R6I3 L_E1G ►- JOH 3SOr3
Mailing Address(Number and street,city,state,and ZIP`tole) fa.S:une 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
I
i
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDR/STANDARD DEDUCTION
smm Fom, sar3 �� i sas�
Presabad by tlie Depertrraq ol Laal Gosmerd Frianm
�NSraucnonrs: s� �� s;aa �, m�y �s�r�,�.
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AUG 1 3 2007 „fl
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� (yye) � GIB�,G1(�ii�TtKeA�9� March, 20_
I(We) oxupied as av pm�dpal plaoe af residence the fo9avirg d I popeAy tar whidi a Hm�estead Property Tac Gedt is hereby daimed:
�� M�e) owned ❑ Me Wrymg unda cantrad
Have a benefiaal u�terest m the rrtiry tl�al is liade for the property f�ces m ihe property and C�at ams the poperty w is buymg urMer a contract
M A+yriB om m�trxt Fee Sirr�le awrefs reme
F�CUdds ot6ce whae mYisC is recatlatl
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n my pwUOn or u�e r�adeNi� smawe e rm�d na g ona (�� a,e n,at'smred�y
d Ihe qopnly Wi5md m produce u�ne.
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number IPege
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.., t �. . ' . . . . �3 Ytk$ � ft T%JETAXS ASSESSm VALUE 'HOMESTEAD�- �h`• T'NONfiFSiDBlTIAI.�' '��
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VYIOI pIM (2' :;�• `S } �� ry4 �
Td� land (I'ore 1 phrs l'ire � �3) '
't � �..� Fx •-'s4t c � .'. ,` �ay Y
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Tdal anprwertiertls (!vre 4 Wwx,p' 6ne 6) (7�
Tdal value (I'ore 3 pds Gne � (g)
I liereby certiy tlie abwe B hue. correcf. aM Ss�� of wsamsa Data sq�ea
�rt�te.
Vaiyug adim' Si�mn+e af hdtv Qate si�p�ed
F 9' s .,� � seh� ':'STfWDARD�.DEDUCTION'ALLOYYANCE,�'ua `:T �,�,. :�`�..� '�.,.�',v"` �:Y°'t�. k_ r'9�sT�;t�'±}S
2b_Pay20_ .
Lesser d 12 Hanestead
Vafuafian ar f35,000 E
Si��ae dN�ditnr Dete sty�ed