HomeMy WebLinkAboutHomestead_Greer (6)S"'" � CLAIM FOR HOMESTEAD PROPERTY TAX
S _ , STANDARD / SUPPLEMENTAL DEDUCTION
State Form 5473 (R72 /6-09)
�' ��� � P2srtiCeO �y lhe DepaNnent at Loml Govermient F�nce
INSTRUCTIONS: See reverse side forllirrg insbucfions.
FORM
HC10
� � �
��
YEAR
� N`'e1 !c��—.��W l�-C__ \ L�Y l X XJ C, certiry tha� �(we) 6�G�iedasln�CMW�lvrindpa�
place ot residence or am (are) buying the following described real property for which a Homestead Property Tax Standard Deduction is hereby daimed
under mnVact on �he date lhis appliqtion is filed, (dafe ot filing): q�
6u, r`-�
❑ I(We) own ❑ Am (are) 6uying under recorded mnVact (/�
❑ Am (are) entltled to occupy as a tenant-stockholCer of a cooperaUve housing corporation GIBSON COUNTY AUDITOR
� Have a benefidal interest in the wst or the right to occupy the property under the terms of a quali(ed personal residence wst
.�r�
spouse
If buying om m�trad, Fee Simple owneYS rume
ReCOMels ofice wl�ere conUacl is remNeO
Township
o� l�-�S-IL1�-(X�3 • �9'3-c
I( any portion of the residentlal sW�wre w Ihe W�W not
ot tl�e pmperry urifaed ta pmduce income.
Counry
Township
�rivers Gcense / Identifxetian /
o( da"unant (lasl (rve digitsl ,�-� �
of da'unant's spouse (las( five d1gIIs)
one (1) a�re
I hereby ceNfy the above statements are We, correcl and complete.
�Qd�ss numbe� and sbeeG ciry, slate, antl LP cade)
�C..J �I
..• .
Land not exceedi�g 1(one) acre immediatety
surtounding residential improvements.
Otherland
Total land (line 1 plus line �
Residentlal improvements or Mnualty �����9
Assessed Mo6iie 1 Manufacturetl Home Garage
Other imOrovements
Tobl improvements (line 1 Nrough Iine 6)
Totai value (line 7 pl`s 1(ne 7)
I hereby ceRiy the above is true, cortect,
and complete. .
Verifyi�g aman - Signay�e o(lwCitor
�
i+)
(Z)
(3)
(4)
(5)
(6)
�%)
(8)
Ta�drg tlisinrl(ctty, rovm, rownship)
20 pay 20 _ Lesser of 60 k of [he assessed value of ihe homestead or $45,000
NoMVhs�aM'ug eny otherprovision, Ihe sum o/the dedtxlwnc pravbetl in IC 61.7-12 to a rtmEAe fame Ihat is
mt assessed as real property w fo a menufaUUred harne fhet is nof essessed as real property may nof exceed
one�ha!/lf21 W Ne a55essed,vNue af the mobJe home oimanulartu2d hame.
Recdd number
Page
ry in 9uestion:
property ❑ MnuaOy assessed rrobile home (IC 61.1-n
vcWre is used lu produce imm�e, describe Ne use aM portion
S
Date SigneC (mmfh. tlaY. l��
Date signed (monN, day, yeaq
Date