Homestead_SumnerCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
S�e Fortn 5{73 (R7 � 506)
Reavbed by Cie Depatrr�ent o! Lorel GouermeN Fvwice
lNS7RUCTIONS: See reverse side Iar filing instruct6ons.
F6RM Y�
HC70
i cwe� o�GZ� c.a.. Gf - �� --
�sry a�� o� u� i� de �a/��, zo_
I(We) ocwpied as aa prmdpal pla� M residence the fo8owirg described real poperty for which a Fkrt�estead Pmp�9 (F'�LS�reby daimed:
irI �(�) °M'�� ❑� bh'°K7 �g °°�� GIBSON COUNTY AUDITOR
Have a benefiaa� mmrest in a�e enfity mat is �iade for me properly mues m u,e popaty end mat owns me property or is wyu,g under a conoracc
)'`t�:%: ' � . l.�:�S:' x. �;C .:4. GONTRACT:RECORDm.e:ir."t..e.��.J,:��F°: t...:: .1' i=.�?(;�'�4t ..iny+- .�;�:
< f LE .`l .o cF:
I( bUyYlg on mlhacl. Fee Sirtq18 aM11Bfa Iprt18 �.. _
F�mdv§ �e wl+ae mWa� is �ern'deC Remrd numEm Page
�W /
Parcd nmibv
bv
Taxruldp
tlasuiption
�E.�'r"CLliw--l.�-c.a� U,c-Z
a ab �a �,a �mre o� �i> � n,�
�-ll- I y- /o/- oo�, ya.� - o�17
6�Mn.
Is iha paperry n quesCon: /
� ❑ Real prapary ❑ Mahib Fbne (LC. 61. f-n �
.,�m m� �ma � ��d ro wom�:,ao�. d� nb ��,a �
.- ,� .. - � • • * �� � � i.� n�'�;k � �"� T%JE TlUC � � i�� fASSESSED VALUE < HOYffSTFAD`� � 1 � NONitE51D@iTULL �L , �
� (Y h ' , Q
.`'._�aY a ASSESSORUSEONLY i,:�.. �irx.r� y. .,nV��., . t;�..�AT700XOF�TfVa r r,rV-��.��a��.'i�-�'t��.��:w`c.� VALIJE.l4wl'�"�k....wi�
LarW not eueedi 1n one aae imredi '' ��� r"r"r'�'"� ,`���!'t.r "S° �v
�9 i ) ��Y ' �xJy�P�� ^.ys-�.��s�a r.. ; � YF."±j.
SldfOIHldVlg I25dEfi� IlfiPfO�!@IIIEf1i4. ��� -'y ��y ^t��i i� �,,j �'�k4� ��a��,±
.� �-. �, �". .
�i�10f �21K� f :
IK� /'1 aF�� � a� ,
V � �;3�1Y} "FZ3.,��.
Tdsl land (fine 1 pAu 6re � (g)
pwe0i '?� S�'',r�B�,µyl'1�� `�^ 5 �1� H �3.�.�
Resaentia� "vnprover:,eMs w Anm,apy re (4) ' a.,..,�.,�� ;=��t.,,�i;�a,�"n".f.;.'.����
� Alodle / Alanute�sed Florne � /,� tty �� F`.7� }�$'�,,"��-i^;.t�f}?"�°�d�- `Y'.;
Ge'age (SJ S/ ��%,.�rr�'W ,������3,r���
:`i u, q_.� -
OMIEf ifnpfOVerrlenl5 (6) . . � � "':� 'r?-� a,�
;`s2
Tdal vrryrovanents (6re 4Ww� Bne 6) (�)
Tatel value (!6re 3 pks 6ne n (g)
I hereby cer6fy fhe above is hve� oaretl aM SBnmee ofAsmmv Dafe aignetl
�
�M^B eNan - Si�ehae dNdOOr Qate si��ed
^ .�,,: �.:..,�,-°-,.r �,,;.,...' t s�..STPf1DARD�DEDUCTIOl1'ALL'OWAIICE �stn�_".�" ...7.".._� ``.�.�i�„��:'z : �..Kx1�.':xa�..*�;„@�-i,A
^ YW
20_Pay20_
Lesser of 12 Hort�estead
Valuation or 535.000 E
Si�ae olPudmr Date sipned
❑
Gibson County Auditor
101 N Main
PRINCETON IN 47670
773
iT\R fOAN �! W 12�/ f�Ml
PV9(WBFnBTIII(OF�MI� f(iLQAI
MASUAFAPo0.V�.�IA
- 1�1�11iY� :
Individual. and irtv�inl caupks arc Iimilnl lo nre homexead �andaN �LNuaion. As �hc rttrip� oi �his' Jcduction become±
morc beneficial, thrre is morc incenm�e tlun r�er (or homesmazl fraud. IlortbteaJ frduJ causes hi�her tm billc for all: therefore.
HEA 13�Fi-?(NW requim uipapen xho rtcei��e ihe hanes�caJ smndarJ deJuc�ion io reri(y �h.n �he} am iliciMc w rccei.c �he
benefii amt tu p�m'idr aJdiGo�ul idrnuiyfng in(umimion nemian� io allw' euunry gmemmenl eo bener munitor hame�e.M
filin�. This infnrmatinn will be Aryv mnfidenlial and can only M accessed by amMrizrJ aounry� niGcialc. l'he Ikpanman o(
Loeal Gm<rrvnrn� Fiv�e ��ill uae this infortnarion m cream muls Oui will hcln munrv officiala ciimiave Mmenead traud.
Latricia A Sumner
P O Box 433
PRINCETON IN 47670-0433
�i�n��in����n�iii���ni��ini�n�n��n����i���n���i��ni�
Tasnacer Neme Propertc Adtlress
Sumner, Lalricia A
P O 13ax 333
Princemn I\,47670
State Parcel Number Leeal Descrintion
2fi11-14-101-001.427-0 7 COLUMBIA VILLAGE SEC 1 5 D-1
1' �
Ox�ntt I First MidNe , L.ast
L � �Rr� t�1 % � .Su�n �E� �
ig Addlccs �numner m�d sveet, nry, smre. endZ[Y code) - --- " — — ` - — — � � Seme ns pmpcm address� — - — , " — —
,D, �r 6X� � 3� �Rt�►�fad� .��1 �7G7 b
Social S«uri�
Middlc � last
Mailine Add�ess (Number and �vee4 rit}', stule, and LIP cak) � Sun<as pmpeny addres., ,
Social5tturity Number �luc 5 digitt) Dmrrs Liccnsc/Sta[c ID Numbcr (1� c 5 digits) Othcr (plcasc spccify in Pan 4 bclow�) I
svr
1
Each undersigned certifies, under penalty of pequry•, that the above and foregoing infurtnation is we and corteci and that he or she is elieible to
receive the homestead standard deduction on this propeny. Each undersigned al>o understands that, by ciaiming additional homestead deductions
unlawfully, he or she may be liable for back taxes and substantial financial penahies.
Owner 1 $i�msWrc Un�e 1'dephonc
� � � � ��/3�a��o � !-�
5pouu 5���,n Uai� T�,cphrn�c / �
\ /
•11 1 �' 1
I