Homestead_West (5)R�� CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
'a � State Fortn 5473 (R4 / &00) .
INSTRUCTIONS: See revarse side for filing insWctions.
FORM � YEAR
HC10 �
I(
liable for ihe property laxes on the property and that ow�� �propeity�b�ts� nVact.
GIBSON COU^!7Y AUDI�� T�
II Duying on conVaq, Fee Simple ownefs name
Recorders ofFce where contract is recorCed
Couny
Tamship
Legaltlescription
If any portion of ihe residenUal sWCture w the land frot exceeCing one (1) afie
ol Ne property utiizetl to produce income. � �-
Record number
Tadng disiriU (ci(}; town,
Page
surtounds that struUure is useE to pro0uce income, describe Ine use antl portion