Homestead_Tretterry� � CLAIM FOR HOMESTEAD PROPERTY TAX
" ' CREDIT/STANDARD DEDUCTION
S ` Slate Form 5473 (R4/ &00)
INSTRUCTIONS: See reverse side forfiling insWCtioris.
FORM � Y�R
HC10
� � � �
I(We) � UV � �xa_� `- cedity � on the tst day of March, 20
I(VJe) occupied as our princip ce of residence the folimving described real property for which a Homestead T ��d'd is ereby davned:
❑ I(We) owned ❑ Are buying under contrad
GIBSON COUN?Y AUDITOR
�ave a beneficial interest in the entily that is liable tor the property taxes on lhe property and lhat owns the property or is buying under a contrad.
Tawnship
I hereby certify lhe above statements are true, corred and complete.
Cih;
County