Homestead_BinghamCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (8614 -03)
Pllfavlbed by the Depiotme tt of Local C,ovemmem Finance
FORM YEAR
HC10
I (We) certify that onrttly- e,8st//day of March, 20_
I (We) occupied as our prina al lace of residen following described real property for which a Homestead Propertyy aVCrNdi3sU06y claimed:
I (We) owned ❑ Are buying under contract t�
' Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the prope or la yyyNlg a contract.
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�:�- �',cF =�"�.s ss�� •'•`r`'..m`= '+S�'a'�.'�?```' ' CO__ NTRACTRE_ CORDED�si��: rx�,-"' ^- �`'�- �,,�zT'�gn=- ' >cT�S;;s'J�
°a sit
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
�r-> PROPERTY DESCRIPTION':_
County
Township -
Taring district (city, town, township)
P cel be
O—
L esc " ion
s property in question:
_ATE100 %':OFT,TV
Q t�'f;VALUE�
❑ Real property ❑ Mobile Homo
H 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.
Prl�
+,�& -`r7
surrounding residential improvements.
(1)
County
I hereby certify the above statements are true, correct and complete.
(number and street, city, state, ZIP code)
County
Signature of claimant
P ASSESSDR USE ONLY F -'�
R TRUE TAX�5SESSEDVALUEHO(dESTEAD
-..'D
6 Y-
t
fj- -
.` -" NONRESIDENTIAL
? j
- ,.- '-'
VALUE' y
_ATE100 %':OFT,TV
Q t�'f;VALUE�
'VALUE � as
am L
Land not exceeding 1 (one) acre immediatelyr
+,�& -`r7
surrounding residential improvements.
(1)
_.�'�`s- ..'S'
Other land
(2)
r>�3 {
Yi EM
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
w 7
'Residential Impro vements a Annually
�aNyr..:d�r"..F
A Mobile / Manufactured Hama
Garage
(5)
Other improvements
(6)
��. }..
Total improvements (line 4 through line 6)
(7)
Total value (fine 3 plus line 7)
(6)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
--- STANDARDDEDUCTION�ALLOWANCE ;�S'�,- `>"""' -K 3-,_,� __ 'x
4W - _ . u-k..��kt ua. s- ..�:.: s i �i�.'.s
20_Pay 20_
Lesser of 12 Homestead
Valuation or 535.000 $
Signature of Auditor Date signed
SEVE FORM'3%.IR:/■+nl TRFASULLA IRAN:I-IA
.,rrntnnYAVE NMRD OF A(T!kTS.`aw nRCZRIBED BY Mr DEFARh1Ftr Of LOCAL tIOVERNWNT FINASCE K'S1.1.224
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individual and married couples are limited to One homestead standard deduction.As the receipt of this deduction becomes
more beneficial.there is more incentive than ner for homestead fraud.Honk-steal fraud causes higher tax bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they am eligible to receive the
benefit and to provide additional identifying information neceslr"to allow county goemment to better monitor homestead
filings.This information will he kepi confidential and can only be accessed by authorized county officials.The Department of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Bingham, Timothy B Sr
R I Box 29-e
666
543 /�/
Timrn y B Bingham Sr
55✓W 400 N e State Parcel Number Legal Description
PATOKA IN 47666-9233
IRI�aIItttltli111iitrtllltitlrttllrlttlltttllttltlutrtlllttlll 26-04-24-400-002.382-018 C010-02382-00 PT SE 24-1-11 1.336 AC
PART 2: TAXPAYER INFORMATION
Owner I —' First Middle ' Last
• 1 l Ant--4-1h4 5\i rv ,� $ \gnct Ss .
fig Address(number and street,city,state,and ZiP code) --' G-Saint m'property address t--
Ss ) WL LA00 1\\ , ��� >✓ � , -ice
Spouse First Middle Last
Mailing Address(Number and street,city,state,and ZIP code) []Same as property address
55 \ W1 �70 � � ., �� �, I � L�LLL
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
PART 4:ADDITIONAL INFORMATION
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