HomeMy WebLinkAboutHomestead_Dix�'"'° CLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD/SUPPLEMENTAL DEDUCTION
S• state Fortn 547a (R72 / fi-09)
�' : Prewibed oy �he Departmem af Laal cmemmem F�ame
INSTRUCTIONS: See reversa side /or filirg instrucfions.
FORM
HC10
w��
YEAR
I(We) � / certifjjt��Pl (�e)�i���edy as my (our) prindpal
place of resi ence or am (are) buying the following described I property for which a Homestead Pmperty Tax Standard Deduc6on is hereby daimed
under mnVact on ihe date this appliraGon is filed, (date o7filing): �� ��
❑ I(VJe) own ❑ Am (are) buying under recorded conVact
❑ Am (are) enlitled to occupy as a tenanFStockholder of a cooperative housing corporation GIBSON COUMTY AUDITOR
� Have a beneficial interest in ihe wst or the right to occupy the property under the terms of a quaii(ed pereonal residence wst
d'
Trnmship
Recad number � Page
ea� � mher ^ I L aeg i Ae_scAption 15 Ne peily7fi quesfion:
Jl Ol{�- �(��.1 fA���lC7 J �Res� property ❑/v�nuaDy assessed mobile home (IC 6f.1-
If any ponion of Ihe residenilal sWCW ra w Ne IaM no1 exceed'ug one (1) aae lhat immeEiatety surtouMS ihat sWC9ire is used In proCUce imm�e, desrlibe Ihe ute and portion
of Ne propeM ���� � P�ufe income.
Counry
Township
I hereby certify the ahove ststements are We, correcl and complele.
reu (wmbe� antl streef, tiry, sfsle, and LPOOtla)
30S s r�c �ree-�
. ,- .
Land not ezceeding 1(one) acre immediately
surtounding residential improvements.
Otherland
Total land (line 1 plus line 3�
ResldenUal improvemenb or Mnualty �elling
Assessed Mobile 1 Manufactured Home Garage
Other improvemenb
Tofal improvements (llne 0 Nrough line 6)
Totai value (f(ne 3 pl�s Ilne n
I hereby ceRify ihe above is true, conect,
and complete.
Vailying action - SignaNre ot Audimr
(�)
�2)
(3)
(4)
(5)
(6)
(8)
Sig�wNre of Assessor
Counry
20 pay 20 _ Lesser of 60% of the assessed value of 1he homestead or $45,000 I
NoNnt�stantlirg any other pmvisian, Ihe sum ol fhe tletluct�ons prmAded in IC 6dJ42 to a mob�e frome f�at is g
rwt essessed as real property or ta a manulaUUred hane Net is nof essessed es �eal pmperry meY �f ercead
nnn.h»n/f/11 N Me assessed velue of Ne mobde home or manufaUU2d hane.
rwmsnip
Date signetl
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