Homestead_Naylor�, CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
/ S�a�e Fwm 5473 (R6 / 1-03)
Prescribed by Ne Departmenl of Local Govemment Finance
WSTRUCTIONS: See reverse side lor filing insfruc(ions.
I (we) l �4JZJ1L�[!�!C Q� 1
I(We) occupied as our principal place of residence lhe following descrtbed real property
���T �
��� � �FORM - YEAR
"tr Hc�o2004 �
io r certify �hat on ihe 1sl day of March, 20_
a Homestead Property Tac Credit is hereby daimed:
I(We) owned ❑ Are buyirg under contract m� yI I l
Have a benefidal interesl in ihe entity Nat is liable (or �he property taxes on the property and that owns the propert orTs buying under a wntraU.
If buying om m�Uact. Fee Simple ownets name
Remrdels otfice where conVact is remrded
County
Toxnship
Tacing
_�o� -oi� a� �ro I�� ylw ��-a-�o �---.
I( any pwtion of iha resitlenlial sW cWre w the land nol erceeding ona (1) acre that;m�iately s�nounds that
ot the properry utilizeA b produce income. f/ C
CouNy
Caunty
I hereby certify the above statements are W e, conect and complete.
street, ciry; sfafe, ZIP
�quesGon:
Real WoD
Record numEer
❑ �+Wbila Homo
Page
is used W produce income, describe the use antl portbn
�r����`2"+��re�T�4*;�"�.1.:'`���"iv'"�:1,�'�STANDARU!DEDUCTION'ALLOMIAMCE?��,'�^��n�'f'n .?Y�iL�.'��t-��9`ytF�3v_�`,�`�c.e��t7ar�i `�i3'�..`�ii
: «.� .
20 _ Pay 20 _
Lesser of 1/2 Homestead
vaivauon w 535.000
S
Signature of Puditw " Data signed
Gibson County Auditor
101 N Main
����IN 4767�
�
APR g Z010
—GIBSO�p�N� A�p�TOR
�65%
$Li1EfORl1
mrnsuau rux� :�-in r ;
IWiviJuaLs aod m�riN cauplec are Iimiitd �o onc home�eaJ �tandaN J,nlunion. As �he rcceip� oi thii dedurtion bctonre�
more brneficial, therc is morc incrn['n'e dun ecer for home.trad nauJ. Ilortb'rcad fauJ nuses hi�hrr Ia� Irilk (or all: thercfore.
HEA 134-i-?II(19 reqvim u��u.m xho r«cive �he Iwmcstwd standard deJunion w rcrity iMt they am �:IiciMe to rccei.c ihc
bmefit anJ ro p�w'idr xklitional iJentiiyine infumr,niun necrz-vn ro allw� counn� gm�rmmrnt to Muet monitor honwsread
filin��. Ihis in(mma�ion will be Aept mnf�lential and can only M aree:.cJ by author¢d cnunrc olTKials.'ILe lkTanmem of
Local Gwammem Fi�um�e will u.c Ihis infomu[ion w crwte twls that will h:In munn' offaials elimir.am humestcad iraud.
i •
Taxoaver Name
Sutherland, Chrislina S
R I Ikix
Princelon I?
Christina S Sutherland
343 W 350 S // 1
PRINCETON IN 47670.9203 \EQ1� ��/ State Parcel Yumber Leoal Descri
���u��n�����u�������n�����n�������nn��n�u�u���i����I 2fr12'31-100-001.307-02�D 6-073W-00 PT N4
This form MUST be retumed to County Auditor's office.
Please do NOT send this form back with your tax payment to the county �
0
'1ri�tinA I �u�.n
Address (number ond svccL rity, statc, and ZIP codc)
��3 � 3 Si7 � P(i rl
r��c
� � N ��
c.4ddress (Number anJ stree4 ��', state, anJ ZIP cak)
A
Sccurin� Numbcr (las[ S digits) Drivcr's LicensclStatc ID N bcr (last 5
, �� ,; ' _ - n 1 �n
OtM1er(plcasc
NIA
NIA
� $ame:u pfopeny addtess
,��
ieilersibmedTettifies, under penalty of perjury, that the abo��e and foregoing infortnution is we and cortzct and that he or
e the homeslead stznaard deduction on this property. Each undersigned al;o understands that, by claimmg addiiional hort
fully, he or she may be liable for back taxes and substantial financial penalties.
I Si`mawrc ` Q � �� p D^t- I 1'clephonc � � /{�
'1L, �'ifi�� Jit� ;71�n,�1� ��� l �P �
� )
Ki�iU�.:�L•C9
eligible ro
�. deductions