HomeMy WebLinkAboutHomestead_Kingsbury°' � CLAIM FOR HOMESTEAD PROPERTY TAX
�' CREDIT/STANDARD DEDUCTION
` State Fwm Sd73 (R8 / 7-07)
�u. � Prescribed by the Departmerri of Lazl Gwemment Finance
INSTRUCTIONS: See ieverse side lor filing insWCtions.
FORM YEAR
HC10
I(We) 1 V f certiry that —oyn yt�he 7s�� 2day vo( March, 20_
1(VJe) occupied as our prindpa place of residence the foliowin scribed real prope for which H mestead Pmpgrty�;rbnN�ereby daimed:
,'� I(We) owned ❑ Are buying under oontract GIBSON COUNTY AUDITOR
Have a benefiaai interest in the entiry thaf is liable fa the property ta�ces on the property and fhat owns Ihe property or is buying under a contract.
I1 buying om m�Uact, Fee Simple o.mefs rtarrre
Recordefs office where conUad is recortletl
Co��ry
Ta«nship
7o:m, faumship)
Record numbar I Page
Pa e nu er /�y�} Legal descri Uon is Ihe property in question:
�� � I � "�/.7• �a Da� . ❑ Real Prapehy ❑ Mobile Home (IC 6f.7-7)
�•'s
If arry pwtion of the resideMial sWClure w Ihe land na ezceeding one (1) acre Ihat immediately surtounds fhal sUUCture is useC to produce inwrtre, descnbe ihe use and portion
ot ihe property uUGZetl Io produce incame.
C� V t,�S�.c,4 31
-.. . . : . .
County . Twvnship Caunty 7p,Y�gryip
I hereby certify Ue abwe sfatements are irue, wrrect and complete. i9n re oi daimam '
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�res umqet et ', ate. and ZlPcode) /�� l
Y
L �,
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• •
11'. • •
Land not exceeding 7(orre) arre immediately - �%
surroundirg residenfial improvements. (�� -
Other Wnd (y� � -� "' ,
Tdal Iand (line 1 plus Irne 2) �g)
2
Dwellin9 (q)
Residential improvements or Annually -
Assessed Mobile / ManufacWred Home -'� -•,- �
Ga2ge �5) " �� "'.'"' ' = '
Other improvements � (6) � �
Tdal imprwements (lrne 4 th/ough line 6) (�)
Tctal value (line 3 plia lirre � (g�
I hereby certify Ne above i5 hue, GorreU, and SignaWre ofASSessor pate signed (monfh, day, year)
complete.
Vsifyirg actim - SigreWre of Auditw Da�e sgned (monN, day, yea�
� ' �.-� � � • •
�Y Z� — qs.ppp for 2007 pay 2008 42.000 for 2010 pay 207 7
Lesser of 12 qq�000 for 2008 pay 2009 47.000 for 2011 pay 2012
Homestead ValuaSon $
w 43,000 for 2009 pay 2010 40,000 payable after 2072 . .
Signatura oflwdita Date signed (montA, day, yea�