Homestead_BinghamCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
� Stste Fortn 5473 (R6 / 403)
PrescribeO by tha DepartmeM of Loral Govemment Finance
INSTRUCTIONS: See reverse side /or filing ins6uctions.
� M'e) l/ `CGv � ' c"er�'i�i
I(We) occupied as o r pnncipal place of residence the follo g described real property for which a mestea�
❑ I(We) owned ❑ Are buying under wniract
, Have a benefidal interest in the entity that is liable for the property taxes on ihe pwperty and that owns the
If buying on conVaa, Fee Simplo ownefs name
whera conirad is recorded
Tawnship
Tating
Is the
FORM � YEAR
HC10 �
ial on the 15t day oTTAarch, 20_
a�r� T�c 6re�iA is hereby daimed:
CUUO
�e�o�y4uying under a contraU.
,,�.
COUNTY AuDlTnrt
�; _- - ;u-�.a q•,�y; y.�.: � ... R
RA'2T�'+K4,.6.F'c=:"k?SF' -.At_:1�'''&°rr;ky`r'
Record number Page
Vli1U —W %j l O W I 1' T d C�/ � W �—O` � CJ� �R� wovem ❑�biia Hwno (/ C 67.7-7)
If any poNOn of Ne residentia� sWGUre w the Wntl not e:ceeding one (1) aae Nat immediately wrtounds that sWCture is used lo protluce income, describe Ne use and portion
of the property uUlized to produce inwme.
Counly
Coumy
I hereby certi(y ihe above statements are W e, correct and complete.
siate, 21P code)
:/�sr�
3 'S' r-�.'�� � � �� � � �''�'�t''�"TRUETAX' � ASSESSEDVALUE �HOMESTEAD`'�' NON-RESIDENTIAL a?
�?,�g�� iAS5ES50R US�E ONLY ---�+ ��� �� �` � F VALUE
.. r ''� g�VAL:UE�s FS°it`AT100%OF�TTV��y,zVALUE�� -���� uw���.����
Land not exceeding 1(one) acre immediately � T"�r �Y,�3«�.4.�� I%��.We�
surrounding residentlal improvements. (� � -'t-��"�'- "�r� ��.��r
Ofher land (2) �``u���'. �� 1
s
.i :n..<,..�_�:
Tdal land (line 1 plus line 2) (3)
Dwelling (q) �,� �' "�;vx��.+����s°.�
�Residential improvemenLS or Mnually '��.� �� , _ � �
Pssessed Mobile / ManufacYUred Hane Gara e ?�'r� y�
9 (5) �� .. _. �e ;�������
i� s. `�K•-. —*
�, L+dS+=nir3. x _i4
y ..tY.-,��v,--�,.'. _`A'i'
Otherimprovemenfs (6) ;��+'� ,�'�.-,'''�=
- :.}-z�";� �?'�'�
Tdal improvements (line 4 fhrough line 6) (�)
Tttal vatue (line 3 phs line n (g)
I hereby certify the above is We, conect, and Signamra o(Asseswr oate siqned
complete.
Veri(ying action - Signature oflwaiwr Date signed
20 _ Pay 20 _
Lesserof 1�2 Homestead
vawauon a 535.000
�
Date tiowel / �
/ Y-�..
�
Gibson County Auditor
101 N Main
PRINCETON IN 47670
1288
William Bingham
1772 Outer Lake RD
PRINCETON IN 47670
tlNEH1RN!JSO1M1:/)WI
1RlASURE0.f00.M:}IA
IndiviJuals a�W ma;rieJ mupb are limi�ed io onc home4eaJ atandaN AeJuctioa As the rocerpt of ihis daluctan becmia
more benencial, there is morc incentnr ihan rcer (or home.araJ �iu1. Hom veaJ faud causa hi�M ta: bflis fur all; therc(ae.
HEA IiJ-l-30(19 requirts uipa.en .rho reccive iM1e hanestcad sundarJ deilunion �o verify ifu� �he) arc cligiblc lo recenc �hc
brnePo an1 io pnn�ide �uMlitio�wl identii��in_ informatian ncrosan to allw� counn� corrmment m bener moniror hamesrcad
filinb�. This inlorma�ion will he Aryw conlldeniial and oan nnly h acrec�ed by awhorizeA roumy nRcials. Thr Ikpannrcnt nf
Local Gmermn<m Fi�uM< will ua thii information m crcam toob tha� �cill h:lp msrv ofitia� climinaie hom<stcaA tiaud.
.,' ,, ,
Taspacer Name Prupert�� Address
Bingham, William M/Johnna
State Parcel tiumber
— - 26-12�09-104 p00.818-027
��
I7J? Owcr izke RD
Princeian I\ ;7670
Leeal Descriotion
OOCr00818-00 PT SE NW 9 2 70 .9478 AC
P1
This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
1
0
Add�s (numbcr end'>vcct, city, smte, and ZIP codc)
�14h l'�.(it
ddress (Number anJ strtt4 ciq', �
�% �u,�
urin• Number (last 5 digits)
Licenx/Slate IU Nuinbcr (lu� 5 digiB)
r
Samc ns
O�her (plc�se syecify in Pan 4 below)
as
`1
ale, anJ "L code) �,une ua'pmpe x
�c�� �� �n v1.P,�N� �J
Drivcis Licensc/Sla[c ID N�unbe: (la;� 5 diei[s) O�hcr (plcasc spccif�� in Part < bclow�)
�� �
undersigned certifies, under penalry of perjury�, that the above and foregoing infortnatiun is we and correct and that he or she is eligible to
�e the homestead standard deduclion on this property. Fach undersi¢ned also understands thal, by claiming addilional homestead deductions
rfully, he or she may be liable for back taxes and substanrial financial penalties.
I �i � Wre . . I)atc Tdenh�e
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