Homestead_Bingham (2) STATE FORM!)!MIR_/H/l1 flLASLUUA PORN ZIA
APPROCEt By STATE BOARD OF A!TUNT&_iry PtIAiWRm BY nit DEPARTMENT I*LOCAL rAr'ANY.ENT FINANCE K I.I.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 etcr for homestead fraud.Homestead fraud causes higher tat bills for all:therefore.
• HEA 1344-2004 requires tatpasers who revoke the homestead standard deduction to verify that they are eligible to recent the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings This information will he kept confdential and can only be accessed by authoriled county officials.The Depanmem of
Local Government Finance will use this information to create tolls that will help county officials eliminate homestead fraud.
•
PART 1: PROPERTY LNFORMATION
Taxpayer Name Property Address
Bingham, William B/Jo Ellen
e-
Patoka IN 47666
1545
William B/Jo Ellen Bingham
567 W 400 N State Parcel Number Legal Description
Patoka IN 47666-9233
Illttlltttlllltttlltttllttlllttttlllttlltttllttlittltttltttlll 26-04-24-400 000.067-018 010-00067-00 32. 14 AC NE2s��1PTESE
C ]
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
WILLIAM 13 r0^.1 atnihtirn
7g Address(-number and street,city,stile min ZIP code]—_ • ___. .. __NI"Same as property uddnas
5 t l 400ril fAToK7a 7/v u CRCs(' `rt i3
Spouse First Middle Last
‘S Ell= t, —Bins lane
Mailing Address(Number and street,city,state,and ZIP code) ® Same as property address
•5 1w 4OUN RAToKA a.N � � vCr(, } 33
_
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 undersiened 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 p, p Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (112 15-92) '
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10 / /W..
PROPERTY DESCRIPTION
County
Township
Taxing district (ci ,fawn town h- )—
NON - RESIDENTIAL
VALUE
c
1ef.I\tuber
V —OO o0
Legal description
II 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 County -
r�reby certify the above statements are true, correct and complete. Si tore of claimant
Address (number and street. city state. ZIP code) //
Q.Q - l &v-2g6 _j0a_ .[c._ �t LI7Ca.Ce( —gZoS _
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Valuation or S2.000
'
Signature of Auditor
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 6)
(7)
Total value (line 3 phs line 7)
(g)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
�fying action - Signature of Auditor
Date signed
STANDARD DEDUCTION ALLOWANCE
19_Pay 19_
Lesser of 112 Homestead
S
Valuation or S2.000
'
Signature of Auditor
Date "V— 2Y—?V