HomeMy WebLinkAboutHomestead_KeehnCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTiON
s� r-o� sare �� i s-o�
Reaaibed by Ihe Depa6faA d Lo�l GoVenmatl Foanm
INSTRUCTIONS: See reverse side fw fiiing instrucSons.
FORM
HC70
9
_
I(We) �-/l./ " ��-thqqqa! on��� o , 20_
I(We) omipied as av pm�dpel aF residence ihe fo8oiwing desaibed real properly far whid� a � is dairtied:
��(We) owned ❑ Me Wry"v�g under cmVact
Have a benefidal rtiterest m Me entity fhat is liade fior tl�e propeAy tazes m ihe pr�erty and tl�at owns the propgrt� q5 is buvaia under a cmtracl
I�fV G Cl°��U-
M dry'�g am m�tracl Fea Sirtpe orniefe �aire
Canry
'�r
ToMnsfup
T�g di5ricl
Pa nmma Legal d�uiP� Is Ne pq
��-►��6-�a3-� .05�-0�
H arry pation ol ihe resderdial ffiuW+e v IM lantl ral m¢eedng one (1) ava Nal inmedratdy cmamds Ma!
dNe paparty tEif�d lo produce vimrtie.
GIBSON COUNTY AUDI70R
Reoord numbe� Page
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used b yodtce nmma. desc�ba Ma m atd portion
.... _ ' � •.•. ' j 3l .r TiMJETWC� f� 0.SSE�VALUE �''HO�STEAD�� �A rrfi "�ES�lInALa`'�+4/ .
' vr0.SSESSORUSE WILY -
7.L�r` t.z .,.:..� . - �• . � � i�'��'� �� � .,W1LUE:i� .;AT 700X OF7TV � v y VALIIE Y ` -:hn ° <::,VALUE ` R* t �z:t
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LmM nol eueedng i(one) aae i�m�e6ately ' y�i ��'�; 7�yK �vi �� p'�ti".��'
Suflaadel9 ft'Sid¢fif121 irtlpOYemef�fs. ��� 9 k.�+"�.�aftr$�'s ��i s�'"h~}�n�-`°�^+:� u�i�i�aj
Other laf�d '� t' ' � ^r
�Z) • �.'rf, r>.l:�i
Tdal land (fiie 1 pd�ulrre � �g)
qr�ety� � } �.:; �L,rt'� -�
Resiaentia� "unp�wei.,erds arnnnm,my �re (<) �'� �.���'��� F"�''�i3 «z4;ti��'���
AsesSed AAOhdC / Mlanu�CGled Fkrt18 � a�r* , t e'�. ve. � u� �'�
Gsrage ' ".�5,u,x��',���.��,k.41�°tt`f�� -'lr`,i����x
�� !�t1�`JTF3.� tii���nSY �_.AiJ}'t �
y ! �� ��,j'� f t �:
�IBi IIi1�fOV�i1�1� �6� i �?
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Tdal'vr�prwemerrts (6re 4 Woutji 6ne 6) m
Tdel value (linme 3 pGs Gne n (g)
1 he�eby oertify Uie abwe is true, oarea, and Se�� of Asemsv Dam sg�ed
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Veif�dro ectim - si�aeae atnu�mr Dafe sipned
•`=f"'::n,"•i�� :.',.1:�•'�i::.:�..">'":�STIWDARDDEDUCTIO
20_PayNl_
Lesser of 12 Homestead
V�uatian or 535.000 s