Homestead_Pinkston •
STATE FORM 5350(Ri/&r0) TREASURER FORM 13-IA
APPROVED BY STATE BOARD OF ACCOUNTS.PA PRESCRIBta BY THE DEPARTMENT OF LOCALOOvfNMEYF FINANCE IC 6-11-2:41.1
•
Gibson County Auditor IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
101 N. Main Street Individuals and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
Pnnceton, IN 47670 more beneficial,there is more incentive than ever for homestead fraud.Homestead fraud causes higher tax bills for all;therefore,
S HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verify 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 be kept 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 I: PROPERTY INFORMATION
Taxpayer Name Location Address
Pinkston, Debra Raye
220 E Oak
, - Princeton IN 47670
2660 II II l 1I
Debra R Pinkston I IIIi.III]liii III�I �II�II_ II �III_I�111�I�IU113II_IIIIII 111011 I]BillIi I II I�II
220 E Oak St
PRINCETON IN 47670-1610
I ' 'Ili�llllrtlllllllllll'��I'I���'i�lll'il"'�lil'I'ii'I'iill State Parcel Number Legal Description
"
FILED26-12-07-201-000.729-028/WAR ADD 8 PT
APR 8 2011
c.3.
ThIgsliYierfilifttle ITbe returned to County Auditor's office.
Please do NOT send this form°back with your tax payment to the county treasurer.
Ar
`-�; -- __P AU 2L7i\PAYER INFORMATION --------- —'— —_---- _
Owner I First Middle /, / Last-Qchtrk erS o� -Mg Address(number and street.city,state,and ZIP code) ❑ Same as property address
` .ac) «4
� o
Mailing Address(Number and street,city,state,and ZIP code) 0 Same as property address
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
I I I- I- -I I I ( sera
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 t es and substantial financial penalties.
tore - , Date Telephone
l Signature , pate - Telephone r l
PART 4: ADDITIONAL.INFORIMIATION
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn 5473 (R8 / 4af)
Prescribed by Ne Departmem of Local Govemment Finance
INSTRUCTIONS: See reverse side /or filing ins(ructions.
FORM
HC10
YEAR
��e) �� �'�''�'� � �U U�' certify that on Ne tst day o( March, 20
I(We) occupied as our principal place oi reside c ovnng described real property for which a Homestead Property T� Credli is hereby da`uned:
i
❑ I(We) owned ❑ Fve buying under contrecl GIBSON COUN? `' AUDITOR
: Have a benefidal interest in the entity that is liable for the properry taxes on the property and that owns the property or is buying under a convaU.
If buying on
where conVaa is recorded
7ams+uv
CJ� `i-� l�`7" -C�v � r/l�li�. ,l.(�/t
N any portbn of Me reaidenUal aWCWre w the IanE not exceedinp one (1) ace tliet
of ihe properry Wlaed fn produce irkome.
T�8
the
surrounds
Racord number
woPerry ❑ Mobile Homo
Page
is useE W produce inmme, desaibe ihe use antl ponbn
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