Homestead_Pinnick • %1AJE/ORM!1W12'/w•1 TPf UREZ FORM 711A
Antonio BY AkTE nMROtK Arrt'NTR'vn PRFYWA• BY ism DEPARTMENTOF LOCAL fSwttNMrfT FINANCE M 6-I.1-U-tI
Gibson County Auditor
101N 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 bttromes
more beneficial.there is more incentive than ever for homestead fraud.Homestead fraud causes higher in bills for all;therefore.
0 HEA 1344-2009 requires uspa.crs who receive the homestead standard deduction to serif'that they are eligible to teethe the
benefit and to provide additional identifying information necessary to allow county government to better monitor homestead
filing. This information will be kept confidemial and can only he 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 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ Pinnick, Richard Keith/Denise J
I Main
_ Oakland City IN 47660
4336 Vk(—*/
Richard K Pinnick
10603E 100 S State Parcel Number Lep.al Description
OAKLAND CITY IN 47660-8655
I I I I III I I I I I I I I 1 1 1 1 1 11 Q` 1 ; 00-ool.as7-ooh 003 01457-00 PT SW.13 2-9 2.015 AC
I n tot fir n tit ei u m r e r r rut i ? c-7
I
MAY
aa 3 220�00"110
GIBSONCOUN� AUDITOR
PART 2:TAXPAYER INFORMATION
Owner I First '/ Middle Last—
alp 1g Address(number find stoat,city,smug,and ZIP code) L�Same as pmpcity oddress -- — -- - . ---.
10(903 C 10D S ORkla.J c,-I-v .,-1 Li7LIW
$pow,'\) First Middle Last
1
Mailing Address(Number and street,city,state,and ZIP code) Dame as property address
/ 01,o36 /00 5 (),akl4.cf 6V7 .—Lit. ilia 60
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 Signature Date
•
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R614-03)
Prescribed by the Deparunent of Laced Government Finance
INSTRUCTIONS: See reveres &W Ilor fIDnp insbucdorls.
�� FORM YEAR
HC70
FILED
I (We) `T— certify that on the 1 st day of March, 20
W _
(We) occupied as our principal place of residence the following des ed real property for which a Homestead:Bioperty 7a( Credit is hereby claimed:
(We) owned ❑ Are buying under contract GIBSON COUNTY AUDITOR
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
c
O_N_ TRAC_T_!R DEO ECOR_
_.
If buying on contract. Fee Simple owner's name
Recorders office where contract is recorded Record number Page
•�'S. �- a'�'��...�' �-; -- PROP. ERTY, OWNEDiBYC1I .IMANT;INOTFiER'000NTIES F��F�S,���,�Q.,+�. �tg'- _�,?fl'�Sr''�
County Township
County
Township
Taring dislric 'ry, town, township)
Parcel number
Legal descriction p Is the property in question:
—
V — Real property ❑ Mobile Home (I.C. 61.1 -7)
If any portion of the residentlal structure or the land not exceeding one (1) aae that immediately sumo unds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
•� �{ ^7 �/
•�'S. �- a'�'��...�' �-; -- PROP. ERTY, OWNEDiBYC1I .IMANT;INOTFiER'000NTIES F��F�S,���,�Q.,+�. �tg'- _�,?fl'�Sr''�
County Township
County Township
hereby certify the above statements are true, correct and complete.
Si nature o im t
Address (number and street, city, state, ZIP code)
- `-`
USE ONLY 'is
TRUE TAX"F
ASSESSEO.VALUE
° HOMESTEADS
`NON VE�SIUENTUIL
.ASSESSOR f
..�b:k4
VAI:_UE.u,
ZiMO _-.r=.�?.h.._.,
+ 11T ;700 %.OFTTVsk
,.-.�._!Vj
>VALUE
zc. kVAL
a�- 1+= .t..�d�ar,.�a
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)@-
Other land
�•
tr`�'1'2'• �
Total land (line 1 plus line 2)
(3)
Dwelling
(4)',cte���i'1
Residential Improvements Improvements or Annually
Assessed Mobile I Manufactured Horne
Garage
(5)
r�.s3�L.MaAitr4
Other improvements
(6)`'
y,3,�c,
i
Total improvements (line 4 through line 6)
(T)
Total value (line 3 plus line 7)
(6)
I hereby certify the above is true, coned, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
...lf ..za. - STAN6ARD :DEDUCTION'ALLOWANCEgTt ���•- ""�`— �ws':!E�y`. p,,n� u
20 Pay 20_
Lesser of 112 Homestead
' Varuavon or 535.000
$
Signature of Audits
Date signed
