Homestead_CollinsP LE
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
a� CREDIT /STANDARD DEDUCTION NOV 81993 Hc,D yqy�
,.' State Form 5473 (11215 -92)
:s 'I vt ��
INSTRUCTIONS: See reverse side for tiling instructions:Ci�.✓
�yAUDITOR
certify that on the 1st day of March, 19
occupied as our principal lace of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
❑ I (We) owned C buying under contract
❑ Have 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.
ORDED
If buying on ntract, Fee Simple owners name' _
Recorder's office ..ere contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
PROPERTY DESCRIPTION
County / _
/r ,-
Township
Taxing district ( ty, town, township)
Parcel number
o 13 - o o ?9'2-,o o
Legal description
'45 �Gr /c /✓' /z *f. i q_6 2
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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
HOMESTEAD
VALUE
County
Township
® eby certify the above statements are true, correct and complete.
Signature of daimant
tl
Address (number and scree ty, state. ZIP code)
Otherland
ASSESSOR USE ONLY
TRUETAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Otherland
'(2)
Total land (line I plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line b)
(7)
Total value (line 3 plus line 7)
(6)
I hereby Certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
-®' action - Signature of Auditor
it'
Date signed
I STANDARD DEDUCTION ALLOWANCE I
19_Pay 19_
Lesser of 112 Homestead
Valuation or $2,000
S
signed
s1ArE rnRM!O'Ctswl ^ mrA[uan FORM11A
APPWWEt RY CTATE&Marl(*Mxxx'LTS.9n Plr3AaBEDBY in[nrr, nLeroFLOCALrevtRNMEAr FACE MLI.1u—Ll
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 1343-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to precise the
-�
_ ---- --- __ _ _ _benefit and to provide additional identifying infomanon necessary to allow county government to better monitor homestead
tiling.This infoimarinn will be kept confidential and on only Iv accessed by authorized county officials.The Depanntent of
Local Government Finance will use this information to create tools that will help county-officials-eliminate ho,cs:akf aud.-=_ ._ - _
PART I: PROPERTY INFORMATION
Taxpayer Name Property Address
Collins, Janet I
306 South 4th AVE
llaubstadt IN 47639-8220
8276
Janet Collins I I
306 S 4th Ave State Parcel Number Legal Description
Haubstadt IN 47639-8220
�r�rt��ttt�t��tt tt��t�t�t t�tr�tt r�r�rr�r���r rr��rr rt��trtt��t� 26--1199-31-304-000.397-009 013-00397-00E PARK 461/462
I '
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
J(hieJi i", GoLL7 ,0S'
•tg Address(number and street,city,state,and ZIP code) — _ _— -- Same as property address _ __
'3065, �2 f� JeJ /-14965ror Fns: JI7S9
Spouse First Middle Last
Mailing Address(Number and street,city-stale-and ZIP code) Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number past 5 digits) Other(please specify in Part 4 below)
stair
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 Telephone r l
Spouse Signature Date Telephone ( l
---- –'-"`PART 4 ADD1TIONAr INFORMATION
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