HomeMy WebLinkAboutHomestead_Gentry�, CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
� Staic Form 5473 (R614-03J
Prescribed Dy the Department of Local Govemment Finance
INSTRUCTIONS: See revcrse srde for Iiling instnicfions.
��� FORM
HC10
� � �
YEAR
� �
I(We) certi that n the 1st da of rch, 20
I(We) occupied as our principal place o( residence the following described real prope r which a Homestead Pr rty Tmc Cr is eby d ed
Y
❑ I(We) owned ❑ Ne buying under contract
GIBSON COU TY AUDITOR
i Have a benefidal interest in the entity that is liable for the property taxes on Ihe property and that owns the property or is buying under a conUact.
II buyirg on conUact, Fee Simple owners name
Reeorders otfice where wnVacl is recorded
> '�T}z r.�r-�a. �...z- r':}s
�� � f v �,�'�'.°. �,ai���� �x�'i;,,.. ,
County � Tamship
i( any portion oi Ne rasiAential swcWre w Ne land not
of the propeM utilized to produce inmme.
Rewrd number � Page
(dlry, town,
is ihe prope\rt�y i question:
�( Real D�opeM ❑ MeWe Hwno
that stNdure is usetl lo produca inmme, describe Ne use and portion
�'�t`�'�� �{`' "`��4js���'����'`�,-�� �',�..' � �TRUETAX+H �r. ASSESSED�VALUE `�>HOMESTEAD�� � z NONrRESIDENTIAL s.�
�� vA55ES50R�USE ONLY z,, '� .�£3 e �, . � ��� w R ^a���,r�'��
' -��'++i" ���L"l.d:tl�'3�'-�_..�'�.�e,�'..� �VALl1Ef.h..+g . AT�100%O�ITV�� VALUE�:,. .v`S�.�ir�VALUE't-+� �
Land nol exceedin 1 one acre immediate ' `��-;� `'�
surtounding residential improvements. N (�) 4������� �'�� t�3���
�c'a"��...-�'1��w�n.�ss+`.,."i�'♦a&, x"'RC'.�T;
Other land (2) t�`���'Y��"�
�����
TUaI land (line 7 plus line 2) (3�
� s�rz'rs.�-'���i����
Dwelling (4) � ���,� � y .. ��r�„� ���
Residenfiel improvements or Mnuaity
Assessed Mobile / ManufacNred Hmre Garege �5) �'� �` k� ."s2° �,�:
- �-�utz4i..r���.�.n+���X�
.+- �iai .. 3yiY
h:� ��5 r-
Otherimprovements (6) :�-y=4'�".�''1�.�— .y�
i,z� v"tf �N.�.�
Tctal improvements (line 4 fhrough line 6) (7)
TUaI vatue (line 3 plus line � (g) .
I hereby certiry ihe above is We, coned, and Signawre orwssessor oate signed
complete.
Verifying aclbn - Si9nature oflwditor Dale sgned
"�" }` "� ._'"� '�x`,.�y;STANDARU;OEDUCTION'AL'COWANCE"?�-��`',�.,�,e'�.,�`:�.3";.yA�y� �'-:?-etX3't?�:'a'"�€�`�`-:�„4?+�_fb"?`,;.:-�_-_.
.^�"'_1�..�'-r�i.. ��'n7l�c`'t�.='f+S+*°�a�`�'.:az?,.._
20 _ Pay 20 _
Lesser of 1/2 Homestead
Vawauon w 535.000
5
SignaWreofAUdit« " Datesigned