HomeMy WebLinkAboutHomestead_Johnson (4) c n
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Arta TEn BY MATE W)OF Mrttty15.2orN ?RE9rlUDFDRY TUT DEPART ME.NTMUCAL GOVERNMENT FINANCE M4I l.r4.I
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
more beneficial,there is more incentive than e'er for homestead fraud.Homestead fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who remise the homestead standard deduction to verity that they am eligible to recebe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.'Ibis information will be kept confidential and can only to accessed by auihnrieed county officials.The Ikpannieni of
Local Government Finance'rill use this information to create troll that will help county officials eliminate honicatcad fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Properly Address
Johnson, Harold W/
R2 Box 61 C
Ilaubstadt IN 47639
8370
Harold W/ Johnson
3268E 1025 S State Parcel Number Legal Description
Haubstadt IN 47639-8037
26-19-34-400-000.620-024 004-00620-00 PT SE 34 3 10 1 AC
It o utIt II uu I I tI rI uI sIt II IItI roIt II nI nIrIrI 11I ` _
D-10
PART 2:TAXPAYER INFORMATION
O.ner I First Middle Last
//Ago la LiAv Jo\n4sot./
�g Address(number mad street,city,state,and ZIP code) -- — -. - -— _—— - -- o .Same as property address — - - —-
3 a E / o �� s //�9crtasio�s�T :LTA/ 5/76 3
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is ante 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 natme Date /
`���� CLAIM FOR HOMESTEAD PROPERTY TAX
� � ' � CREDIT/STANDARD DEDUCTION
,�` • State Form Sa73 (R2 / 5-92)
�su
INSTRUCTIONS: See reverse side lor liling instructions.
FORM YEAR
HC70
' _ �� .' �.!.�J L51J J tf/
v
I(We)
Property iaz Credi)is•herehy�daimeC:
I (We) owned ❑ Are buyinq under contract �{ C�n^r• ;� •�.�: �Tr P.L�:TQ:i �
Have a beneficial interest in the entiry that is liable for the property taxes on the property and that owns ihe property or is buying under a contraa.
- - - . - � � - . . CONTRACTRECORDED.�.'. . �. �. - ' � -
If buy'ug on contract, Fee Simple owner's name .
Recortlers oHice where mniraa is recorded ' Record number Page
Counry
- � ' PROPER'iM DESCRIP'TION " �
Township Ta�rg djsjrict (cily, fown. townstiP)
Parcel nufnber � ^ � Legai description �
�(� �
If any portion ot Ihe residential struaure or Ne IarM not ezceeding one (7) aae Ihat immetliarery surtouMs thal struc[ure is used ro produce i�ome, tlescnbe Ne use and portion
of the properry ulilized to produce income.
' PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township Counry Township
�reby certify the above statements are true, corteci and complere. Signamr claiman�
�L�
Address (numb2r anC sfreeC aty, sfate, ZIP oode)
3
. ASSESSOR USE ONLY �-. THUE TAX �ASSESSED HOMESTEAD� NON-RESIDENTIAC�- �.
. � � VALUE VALUE� VAWE � . �: VALUE �
Land not exceeding 1(one) acre immediately ' � -
surrounding residential improvemems. (�) ' � - �
Otherland (p) �
Total land (line 7 plus line 2� (3�
Dwelling (a) ` � � � �� ' ..
Residential improvements
Garage (5) . . �
Other improvemenis (6) � �
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g)
I hereby certify ihe above is lrUe. CArrett, and Synature of Asseswr Date signed
complete.
�tyirg action - Sgnature of Autlitor Date syned
19_Pay79_
Lesser ot 7l2 Homestead
Valuation or 52,000
Signature of
5
Date signed
���'� —