Homestead_Pinnell .• (1 Aft rnRM MWtR:INn1 nl su mR FORM 73-IA
• .ArrMSEo BI'STATE BOUM Ofwn*x1sInn PRFffi,In1D BY 1111-OEPARTOYTOE LOCAL CrO\ERNMFNT FINANCE ICH.1- .AI
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 Individuals and married couples arc limited to one homestead standard deduction.As the receipt of this deduction becomes
` more beneficial.there is more incentive than eser for homestead frattL Ilomestead fraud causes higher tax bills for all:therefore.
IF HEA 1 344--7009 requires taxpayers who receive the homestead standard deduction to verify that they are eligible to teethe the
benefit and to provide additional identifying information n' Lsvry to allow county government to better monitor homestead
filing,.This information will be kepi confidential and can only he accessed by authorized county officials_The Ikpartnent 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
_ Pinnell, Mark E ,
530 S Seminary
Princeton IN 47670
3143
Mark E Pinnell
530 S Seminary St State Parcel Number Legal Description
PRINCETON IN 47670-2434
26-12-07-403-003.114-028 019-03114-00 SUMMERS ADD 6
Iiirillitililltillitill souIr IrI trI u I I a I tiI n I I r I I nI I nr'
PART 2:TAXPAYER 1NFORMATIQN
Owner I First /� Middle Last
!YlArK F- elvJa6'd ', Ape /, '/If) e !
_—�Ig
Address(number and sot:city;ztAtc;and ZIP code)_ Q __.__ -_ -_r].Snrrle ns property address_ _ ____. _
S30SauirJ . r..f,,iWc-�`J /P ;, cc.i s 1,1 , L/ 717 D
Social Security Number(last 5 digits) Driver's License/Slate ID Number (last 5 digits) Other(please specify in Pan 4 below)
72.37S9 sue o -6. fl st .
Spouse First Middle Last
hi - / 0(1 Ay) ae //
Mailing Address(Number an city,state.and ZIP code) ❑ Same as property adds ss
r3 o Sou-r'4 ccn, ..9a ry ' • . -. AC), 77 ( 76
Social Security Number(last 5 digits) Driver's Licens tats ID Number (last 5 digit Other(please specify in Pan 4 below)
3 - t - /0 slat '- �' - o o
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 Telephone
diecc c 7C.Z;N Asait S•s'- i o ( ni 2 ) 3 Z.Ci Tie t4
Spouse Signature Date Telephone
PART 4:ADDITIONAL INFORMATION
40