Homestead_SterczerCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEaR
STANDARD /SUPPLEMENTAL DEDUCTION HCtO
State Form 5473 (R13112-09)
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Prescribed by the Department of Local Gwenment Finance
INSTRUCTIONS: See reverse side for filing instructions.
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C E R VATION..a fATEMENT
,IF;I
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placia of residence or am (am) buying the following
der contract on the date this application
1 ., Ova, El Am (are) buying under recorded contract GIBSON COUNTY AUDITOR
F-1 Am (are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation
F-1 Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residerim trust
Fj Am (are) the shareholder, partner or member of the entity that owns the property.
"''�R`t -z r' �+ ar','> �# 1..+ �• i';. �z i�" �`-, rs .l•� :.t.r.a'is..5^�CL'AIMANT.S INF, ORMATION >�__5e`Et�a ".?;..'�.r..:_t rh. -sa r-t � `3�". y - .._
If buying w contract. Fee Sirnoo cwner's name
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_Y�F >�'Y���?yi;�:i1P.ROPERTV DESCRIP.TION��dS:SL�
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��' T .:PROPERTYOWNED'.BY;CLAIMANT;IN OTHER 'COUNTIES;a: „%y�.�'�'LJ2,xYt 7,,,..'r+,_,
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I hereby certify
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HOMESTEAD.re 3 �' NON,RESIDEN Zze
ASSESSOR USE ONLY ""E1TRUEITAX VALUEh1 - .,,,. c t
v.K-�` r
...- :AT100 /.OF.TTV!_.a....VAEUES._t X21. �. +'.1)AL'UE �a- rc'w_ -. r._..
Land not exceeding I (am) am Immediately
Total improvements (line 4 through line 6)
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I hereby certify the above is true, cornect,
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I'd complete.
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I 20 Lesser of 60% of 111
nor assessed as mat property or to a inanufactured home, that is not assessed as real pmperly my not exceed