HomeMy WebLinkAboutHomestead_Greenwell (6)4Art�� i CLAIM FOR HOMESTEAD PROPERTY TAX
- � � CREDIT/STANDARD DEDUCTION
�� J State Form 5473 (RS / 16-01 j
��O Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side /or filing instructions.
FORM YE R
Hc,o � 6�,
�I�
�(WQ) ��(,7v �.t� �� V 1/ �,�,�:�// oe c o� me i a of March, 20
I(We) occupied as our principal place of residence the foli ng descnbed real propeRy for w �\ - r rt is hereby Gaimed:
❑ I(VJe) owned ❑ Are buying under coniract GIBSON COUN I Y AUDITGR �
`Have a benefidal interest in Ihe entiry that is liable for ihe pmperty taxes on the property and Nat owns the property or is buying under a contract.
� , � .� � . _ _-•---,-, _ _ _
:'�-s ° ��'�: i`.'�.7�%�'�`_�.v�`'�"i_���'�sx �y:F:"x..v�� :CONTRACTRECORDEU �-, ' ' ��:Swr,-!3v�st.:-'�,z,ir�kv.' . ., n r �. .,. �.
� If buying om m�Vaa, Fee Simple owners name
Recordels office whera contrad is recorAed Rewrd number Page
Counry
N any portim OI
ol lhe pmperry �
Tamship
l�eq;l description �
Taing district (ciry, fown, township)
w Ne lantl not exteetling one (1 a�'e iha meElad
e Illla
' .
Ilsthe propertyin quesUon:
❑ Real pmperry ❑ Mobile Homo (I.C. biJ�7)
surtounds Ihat swcture is used b D��uce income, describe Ihe use antl portion
� °'�u`�+"'k�`,�`:a�:�.'�,.'�-`..�S,n�:ar�i{�.:iu��r:sYSSTANDARD'.�EOUCTION�ALLOWANCE �=i�i.:zl?�'�bf�1a'Zu-";' .f"�eSL�'i��si>`'�'•;1+�
20 _ Pay 20 _
Lesser of 1!2 Homestead
Valuation or 56,000 5
SynaWreofAuditor , \ Dat "=e0 � Q �
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