HomeMy WebLinkAboutHomestead_Winget,.• ^•n
�?,� ;� t CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
t f State Fwm 5473 (RS / 10-01)
��° Prescribed 6y Ihe Depariment of Local Govemment Finance
INSTRUCTIONS: See reverse side (or filing insbuctions.
. , ' _ . � . � CERTIFICATION STAiEMEHT"� � �
I (VJe) / 1 ► L�/ ( J/
I(VJe) occ ied as our pnncipal place of residence lhe following descnbed real pmperty
❑ I(We) owned ❑ Me buying under coniract
FORM YEAR�
Hcio
� �
certify th n the 1st da of "rch, 20
a Homestead Pr erty T�c t is h eb� I d
G!BSON COU�Ii't AUDITOj 1
a beneficial interest in the eniiry that is liable for ihe property taxes on the property and that owns the property or is buying under a wntrect.
� : � _' V .�. .
c•,_.�5,-YS?.� �;a`�• .=��� � ..a � -'CONTRACT�RECORDED?.;.� •"''•'" . .
I( buying on contraa. Fee Simple owner's name
Remrdefs otfice where contrad is rewrded Rewrd number Page
'i�-�c^ Y 't . .
�`„� �AS E SOR-USEONLY ���' �s ��+ TRUE�TAX ��'�ASSESSEDV/LLUE HOMESTEAD'._�� M NO IDENTIAL ��r���
"-� � rti.��, VALUE: y��AT100%OFT7V ,.,�.VALUEi�-r � v N'RES
+E--,a3��...'.i�„+`���.a�'e+ r .,�:, x".� - ,..:v ... . VALUE-.--J.: ��'rol},..;'
_:.:�... ._, .. ...._., ..... r, ...- '
Land not exceeding 1(one) acre immediately �� �� � :'; z`.,:
yn '
surtoundingresidentialimprovemenis. (�) �'_ :�:1„{.��'.:, �r,;.��.,2�.�.i
�� � ; �.
Other land (2) � � �-� °-,,,, ;.
Tdal land (line 1 plus line 2) (3�
� t y ySrK i
x , 5
Residenlial improvements �elling (4) ;t F � �¢�r�tt y �� ��F-. },
Garage (5) ���i�i;S.� �'���°",Kx`� ��'. +`k�'�,
. LY ,.rr�a^�.'._ `�`��.e":':sf �.�"
Other improvements (6) � � ��'�.��` ���'��
•�'. „
TUaI improvemenls (line 4 through line 6) (7)
Tdal value (line 3 phs line n (g�
I hereby certity �he above is W e, covect, and Signamre o(Asseswr oate signed
complete.
Verifying action - Si9nature of fwditor �ate signe0
i-�.�.+'t�'�` �> ., ��..�._Ai �y -:.-x t�'"`_ -"STANDAR�:DEDUCTION�'ALLOWANCE- '.,� ._� '.�'`� r_"�a ."f •�ti,%--fi '
�:.o✓.�_�..._ :C-� e....
20 _ Pay 20 _
Lesser of 1Y2 Homestead
Valuation or $6,000 S
Sgnawre of Auditor Date signed