Homestead_Bengert (2) 515E FORM:!5t On:/5..M1 MAS11RIA FORM i5-I•
AIWKWED fly snit BOARD Or MrYA4\75.2nr, PLFYRIam BY nil nrPARIMENT OF LOCAL GOVERNMPAT FINANCE 11'11-1.1-2:-1.1 .
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples are limited to one homestead siandant deduction.As the receipt of this deduction becomes
: more beneficial,there is more incentive than Der for homusead fraud.Homestead fraud causes higher tat bills for all:therefore.
HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verily that they are eligible to receive the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filings.This information will he kept confidential and can only be acre>sed by authnriied courtly officials.The Depanment of
Local Government Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Bengert, Patrick T/Karla
14661 Old State RD
Evansville IN 47725
- - - 11030 - -- -- ^ - - -- ' - - - - - -- ---- --- - —
Patrick T/Karla Bengert
2220E Presley Lane State Parcel Number Legal Description
Haubstadt IN 47639-7968
III I I I I oI uIII n I I nI I nIII'uI I a I 26-23-16-200-001343-024 004-01843-00 COUNTRY AYRE EST 16
rut tot t nth tt r urnt t tt 0-9
PART 2:TAXPAYER INFORMATION
Owner I First Middle Last
Pafr1 rlC 71�o hi_ 13e�, - �
•
- ig Address(number and street,city,state,and ZIP code) -_. --EL Same as properly liddi¢. — -- -- -- -- --
- ao L - Pr-es Lt-r LClA) e F e ti-I s licLobL / Z N 476 3 9
Spouse First Middle Last
%i'a.rlex Lea_ Rea-toed-1-
Mailing Address(Number and street,city,state,and ZIP code) RI Same as property address
Zaao C' Pres/ti r--o-hv-e- 1JacksJad)e, �Nl LI943,
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is toe 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
unlaufidly,he or she may be liable for back taxes and substantial financial penalties.
Owne I Signature Date
0
� Y CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
�,r Slate Form 5473 (RB / 403)
PreSCribed by Ne Department of Local GovemmeN Finance
INSTRUCTIONS: See revcrse side /or filing inshucfions.
FORM
HC10
I(We) - ' L�7— ' ceNfy that on�t
1(We) occupied as our principal place of residence the following des d real property for which a Homest Property
�
i(We) owned ❑ fve buyirg under contract
`.Have a benefidal interesl in the entity that is liabie (or the property taxes on the property and fhat ovms thepmperry c
I( buying on conVacl, Fee Simple owneh name
Remrdefs otfice where con4aq is recorEed
Record number
is
YEAR
20_
Page
CaunTy / �N Tamship Tating dis city, wn. townshiP)
Vti
Parcel u _ / n �'� Legal description Is the pmpetly i quesUon:
'V
Q Real praperty ❑ Mobila Homo (I.C. 67.1-7) .
I( any portian ot Ne resitlenilal sW aure or the land not exceeding one (1 � ava thal immediatey wrrounds that swcture is used N produce incwne, describe Ue use and portion
of the proDerty utllizeE to produce income.
—��.-�— ii� —�iiii�
��^'w�'a��.-'��°i���'�..�+z�i��'��".�s"tR'�'�`�-"'_�"ei`;STANDARD;OEDUCTION�ALI.OW/1NCE.:z�?'+�+ ��`'.,j,�:��`u+�-'.`t^u`'�",'�+3`S��,i���t�s�3.��`�r'x�ti �
20 _ Pay 20 _
Lesser of 1l2 Homestead
vauatron w f35.000
$
Sgnature otAudita " Date s'gned