HomeMy WebLinkAboutHomestead_Heavner, Ary� t CLAIM FOR HOMESTEAD PROPERTY TAX
- � CREDIT/STANDARD DEDUCTION
'� � Sute Farm 5473 (R5l 10-01)
���� Presaibed by Ue Departmenf a( Local Govemment Finance
INSTRUCTIONS: See reverse side for (ling insfrucfions.
�,kc T�:.;�; �S"'��'r,�t'� -�� � k -��:�`f _"CERTIF � ilON�STATEI
I �e) � .
I(We) occupied as our principal place of resi ence lhe following described real property
❑ I(VJe) owned ❑ Are buying under wntract
FORM � YEAR
HC10 � �
tr-�
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��.,, ,�..�..�.�1� LUUL,;� .� :-.
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'fy that on e 1 (a�y of r, 0_-
a Hom e d Pro -LPAit daimed:
GIBSON C�OIR'!?Y �UDITOR
Have a beneficial interesl in Ihe entity that is liable for the pmperty tazes on lhe pmperty and thal ovms the property or is buying under a contract.
'r�`r.fs�'.r-`r2�r.�?�:s}mx�i:;...,''+�`�y�a`�����-_+;t?�:�.��'E''�C.�a%'t�.�3�.CONTRACT.;RECORDED-�3.;�s'�NS'�i'?,:�tr.��.���'x. .s... �;+�* -
If buying an wnVaa. Fee Simple owners name �'
Remrders olfice where wntrad is recoraeA Rewra number Page
Counry
Tavnship
Legal
Is lhe
township)
Real D�ooaM ❑ Mobile Homo (I.C. 67.
i( any potlion of lhe residentlal sWcWre w Ne IanA noi exceeding one (1) acre that immediaiely sunounds that sWqure is used b produce income. descrihe ihe use and poNon
of ihe property utilized m produce income. /� �� �
�:�";rtr,s�'�'��-.?5���a'���° ��':'�'�"�� PROP.ERTYOWNED�'�.BY�CLAIMAIJT,INOTHER'COUIJTIES'�`:�? �'':��>ti€'��}�;�`"�'.�'',`.,t?:;:�:r�*,t.: i"=�
. .N-.T �
County Twvnship County Tavnship
f
I hereby certi(y ihe above statements are W e, correcf and complete. Si awre of I� ant
�4ddress (numbei and sbeel, city, stafe, ZIP code)
��"���^`�r"'�'��'�'��"'�'��#�i �^� r`�'TRUETAX'� � ASSESSEDVALUE ,, HOMESTEAD t°�- �sNON_RESIDENTIALV ^� �'
-,��� iASSESSOR USE ONLY+����, ra -�i ..?�,�;��UE: � �` ? f' �' >`*'i 'VALUE �" `� �{
��' �i��-Fl.is�� ,3:ais+'v_ ..i��.� i�. _ ; ..f+T AT�t00Ye OF�TN.i: ��-rVALUE}.�, ��� s?:.`_.c'�,� �,..-�.x.� a.;sF.l�_.
Land not exceeding 1(one) acre immediately � �f�� �'.�'�` ��.-�'c-� ��5:.."" �'
suvounding residential improvemenis. ( � �, �Y�`�`;�"-;. ,?i zx.���
-c.'.::...... s, .. _ :J. _,�
�s� a � r
Other land (y� r� , r �
,�a�i �..,�
Total land (line 7 plus line 2) (g�
." H 4 ylSiP_�- tll+�`�i. 'r A '�'�
Dwelling (4) � �'.-vt-*t�,��' -'� � t � is.Y,�.tar"''s�.'1-'
Residential improvemenGs ����''F"� -"'°�`'''�'�'�,";�°"�
Garage (5) ^����.���S�.,mYj'N��
.e� ��?'.c..;�'=' .td,:� .:
r^ t � � _�'= r.-. . -
Other improvements (6) r � y#�� �.»y'
Total improvements (line 4 through line 6) (7� �
7otal value (line 3 plus line n (8)
I hereby certi(y Ihe above is We, covect, and Signawre o(ASSeswr Da1e signed
complele.
Verifying action - Signature of Puditor Dale signetl
20_Pay20_
Lesser ot 7/2 Homestead
Valuafion or $6,000
SgnaWre of Auditw � Date signed