HomeMy WebLinkAboutHomestead_Wilcoxone' ^",
a : CLAIM FOR HOMESTEAD PROPERTY TAX
`'4"�" � CREDIT/STANDARD DEDUCTION
`� f State Form 5473 (RS / 10-01 �
Prescribed by ihe Depanment of Local Govemment Finance
INSTRUCTIONS: See reverse side 7or /iling instructions.
FORM YEAR _i
HC10
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I(VJe) ��t(/ (/� � l /]�17��/ �L��,=(��'�`) 7�`/'�,�,',j6�,'�'-i�fy that on th ts y of M ch,
I(We) occupied as our pdncipal plac residence Ihe follovnng described real property for which a HomeSttBd-Proppriyf �itish�b aimed:
�° GIBSQN COU\�7v AUDITOR�
❑ I(We) owned ❑ We buying under conlract
'Have a beneficial interesl in the entity that is liable for the property taxes on the property andlhat owns the property or is buying under a contract.
�i;z�-t.������ :�._�=:,..}..+�,....-_'�� .x..:�..`,"'s�="-,CONTRACT'RECORDED.:.�,., -��'.�, i - ��� � •.
_ � _ _
,;�...'}� , e_ ._ n�_ .,._ _ �-.
If buying on contract, Fee Simple ownefs name
Recordels office where contraG is recorded Rewrd number Page
�: Township
�aO nO he� ��D ^ � Le9al descn�pTid`,�
l �CJ,� �:
I( any portion of Ihe residen�al sWdure or ihe land not axceeding one
af the propeAy utilized to praduce income.
,-ri
Twvnship
1 hereby certi(y the above statements are We, wvect and compiete.
(num6ei and sheet, ciry,
Taing
Counly
Is Ne
s
prope�rty/in question: '
I)l Real Droperry ❑ Mobile Hwno (I.C. 61. t-))
T�
lhatswuure is used to D��uce income, describe Ihe use antl portion
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'�i ��-�'�-r,�r�� ' �" �"�` -�-n � �' � ���.,TRUETAX � �ASSESSEDVALUE ��'HOMESTEAD' � 6 -t NON-RESIDENTIAL � � ���
���,� ASSESSOR�USEONLY _¢ . VALUE. �;� A7.t00YeOF.�TTV ..,.�.VALUES"��"'��, z'_-_?VALUE�:,f� fi'
. s � �a. , t� .7-':�'1' . . � . _ uc .
Land not exceeding 1(one) acre immediatety 4t �.< $ i�= z r `y'°"� ��. `,:-
surroundingresidentialimprovements. (�) _-`-,.�..,.�:`Y.�.;:''�?i.a, �, �;'�„� �5�
r�
Other land (z) � -��.�`.t '`-�.` C�
±s�_
Total land (line 1 plus line 2) (3�
�3 frr*.•F n�V�?. �n� •�
Dwelling (4) 5f-,�f�i���<.i y�i������i
Residential improvements
'� a4�a� �4"�� � S:�}�'�'�r"
Gara e ^' ' K�, �°'§� , "'��>:.
9 (5) :i iirz�,��a.,�'-T.`�` ��e€�' i � i .
t:n-y, _:-�:r.;
Other improvements (6) '•�,r� �'��--` �`w
Total improvemenLS (line 4 through Irne 6) (�)
Tctal value (line 3 pl's line n (g)
I hereby certify the above is W e, correU, and Signature of asseswr Date signed
complete.
Verifying actbn - Si9nature aflwditor . Date signed
20_Pay20_
Lesser of 1l2 Homestead
ValuaGon or 56,000
S
Date
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