Homestead_Bishop (3)If
STATE FORM,374.1R2/14.1 IREASUUI FOC StA
AFPROCEO BY RATE R)ARD OF ACCOUNTS.EPA PILSCP®ED BY THE OEPARTMENTOF LOCAL GOVERNMENT FINANCE IC 41.1-17.1I
Gibson County Auditor r
101 N Main k,,r "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 eter for homestead fraud.Homestead fraud causes higher tat hills for all:therefore.
Ask.— HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kepi confidential and can only he accessed by authorized county officials.The Department of
Local Government Finance will use this information to create toots that will help county officials eliminate homestead fraud.
c':':::,;144.714 PART 1 jPROPERTYJNFORMATION ,r'vncri,
Taxpayer Name Property Address
Bishop, Ted R/ Pamela S
\' 209 Zimmerman DR
`x\ Princeton IN 47670
669
Ted R/Pamela S Bishop
209 Zimmerman DR State Parcel Number Legal Description
Princeton IN 47670-3335
IllttlltlllllltrltttIII IlltrlltttllttI I IItttlllttttII I 7• 26-12-06-203-002.294-028 019-02294-00HILLS8DALES2
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
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Owner I First Middle Last
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�ig Address(number and street,city,state,and ZIP code [] Some as property address
O/ Z/ /1�/YtG/L/1fan1 �l�/1Je_
Spouse First Middle Last
Mailing Address(Number and street,city.state,and ZIP cod�e)1 ❑ Same as property 2
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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 ho - ead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully,h- or he may liable for back taxes and substantial financial penalties.
Owner I Sien- are _ / l Li
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fie
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,/
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a1 =" � CLAIM FOR HOMESTEAD PROP RTY TAX
:��= CREDIT/STANDARD DEDUC�
��'� 6tate Porm 5473 (R2 / �92)
,: • 9 \\'3'
INSTRUCTIONS: See�t'se side J�r�g inst�uc(ions.
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I(We) _��-� •� � � �--� cenify ihat on the isi day of March, 19_
1(We) occupied as our principal place of re�idence the (ollowing described real.property for which a Homestead Property�Tax Credit is hereby claimed:
�I �We) owned ❑- Are buying under wniract � . . '
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the pmperty or is buying under a contract.
CONTRACT RECORDED . .
It buying on contract, Fee Simple owner's name � , - • -
Recorder'S oHice where contract is recorded Record number Page
County
Parcel number � �, y
. . � Tawnship
Legal description
PROPERTY DESCRIPTION
town, fownsbip) . � -
..��� .
If any portion ot the residential strucmre or the lantl not eaceeding one (71 acre that immediately surmunds that structure is used to produce income, tlescribe the use and portion
af the property utilizetl to protluce income. �
PROPERTY OWNED BY CLAIMANT IN OTMER COUNTIES
County
I hereby certify ihe above siatements are true, correct and complete.
(number and svee(. ary, stale,
daimant
ASSESSOR USE ONLV TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL -
VALUE VALUE VALUE VALUE
Land not exceeding t(one) acre immediately
surrounding residential improvements (�)
Otherland (p)
Total land (line 7 plus line 2� (3)
Dwelling (4)
Residential improvemenis
Garage (g) .
Oiherimprovemenis (6)
Total improvements Qine 4 through line � (7) -
Total value (line 3 p�s line � (g) (
I hereby certify the abOVe is [rue, corrett, and Signature of Assessor Date signed
complete.
Ventying action - SignaWre ot Autlimr Dare signed