HomeMy WebLinkAboutHomestead_Miller (2)CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
\ � State Fortn 5473 (RS / 10-01) ,
�w Presaibed by �ha pepartment d Local Govemment Finance `,
INSTRUCTIONS: See reveise side !or (ling instructions.
i FORM YEAR
j Hc�o
%/� �., �-� �
; �
� M'e) � � certi ihat on the 1�t d �f Ma � 20L
,I�,({We) ' as our prindpal place of residence the (ollowing desaibed r I pro for which a Homestea/��_ . i.ved:
Yy I(W owned ❑ Are buying urMer contract �� GIBSON COU`1T Y AUOITOR 1
;Have a benefidal interest in ihe entity ihat is liable (or ihe property taxes on the property and tliat owns the property or is buying under a contraG.
11 biry4q on conVacl, Fce Simpte ownefs name
Recordars ofice whaze contract is recorded
County
Tamstdp
Record number . � Pa9e
Na I n Lagal desuipGon C.I �(�i I Is Ne pmperty�estion: "
— _ �f �f. � � /—/0 � i>�' � voo�m ❑ Mlcbile Homa (I.C. &1.7-n .
H eny poNOn o/ Ne rasiAenilal nWdure w Ihe IanA nd axceedinp one (1 � ace Net immetliaffity surtounds Nat dure is used tu produce incane, describe the use anC portbn
of Ne DroDerty utilized tn produce income.
a�-�s 3�r Z� od�tsaa � a.�
BF: y �i{� `r. � F�i i�v�" 'e� �' �.raA�l4"'}`i'. 3Lii�x W� )� 4.a�+ AHGt 5.��.
�'�.�'�q�.-�-_�*�.'=.'�'� _ �`�--.,��"�y-',,,STANUARU'.OEDUGTIONALCOWA.fiCEfizy:z�^:iu-.,..�• .FSC���"^',.�."�`i'�-�.��5'rx.r�?.:
20_Pay20_
Lesser of il2 Homestead $
Valuafion or $6,000
Signature o(Aud'Aa ' . Date signed