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HomeMy WebLinkAboutHomestead_TapleyCLAIM FOR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION ` �' Slate Fortn 5173 (R817-07) Prestnbed by Ihe DeparUnerrt ot Laral Govemment Finarwe INSTRUCTIONS: See ieverse side /orfiling inshucfions. � F EAR �,j� H 7� 1• �. APR 2� 2 2009 I(We) 7/ GL certity th�6f8$0�11€I��f,p1AUDl�rp I(We) occupi as our prindpal place of res' ence the bwing described real property for which a Homestead Property T�c Credit is hereby da��ed �I(We) owned � Are buying under mntrad � Have a benefidal terest in the entity that is liable for the property tazes on the property and that owns the properly or is buying under a contrad. Counry Parcel number Toxnship H a�ry porU�oh of Ihe residemial siruclure w Ihe land not exceedirg one (1) ot Ihe 77tP�)' Ni6zetl m pmduce inmme. ��ry�r��. Taring d'St t (citK town. i ' . I Is Ure property imm�ately surtounds U�al _ �� "Y proparty ❑ Mabile Home (IC 61.7-� used b Produce Incortre, describe Ihe um and portbn . O�� �_ � � . .� � � �� .. - i < -_ . 4t-e:: �. Land not exc�ng i(one) a<re immediatety :,i : p, ��� , t_F..,� �=i',„_ , surtoundirg2sidentialimprovemenis. = .;,,,�;.-._-:,. - Ottier Wnd (Z� . - Tdal land (line 1 plus line 2) �g) � , Residential improvements orMnually �eiling (4) �`;� ' _ A55e55ed Mobile/ ManufaCWfed Honx� _ 5 ��� :y_� .. Garege �5� - s ���... � � � Other improvemen� (6) ` '� � r ' - Tctal improvements (line 4 fhrouqh Gne 6) �7� Total value (line 3 p!'s lirre n �g� I hereby certiTy the above is We, correCl, and SignaWra of Assessw Date signed (mm(h. tlay, year) complete. Veiryinp aCion - Sipnature otAudtlw Date signed (mmN. tlaY•Y�� �.-� � � • • � � PaY ZD — 45.000 for 2007 pay 2008 42.000 for 2010 pay 2011 Lesser M 72 qp ppp for 2008 Homestead Valuatirn PaY 2009 41.000 for 2017 pay 2012 $ a 43,000 for 2009 pay 2010 40,000 payable after 2012 S9�e��re of �tar Date signed (manth. daY. Y��) __Status --Property Information — -- -- -- —-- _ Activity Homestead I Type IV County ID Gibson 0 Acuvity S�m Date 12/17/2012 3:15:42 FM 1g Parcel Auditor 'Approved 1�) 26-12-07-203-003.323-02i 1 Parcel Blamp Mabee Auditor Home ❑ Approval 2/17/2012 3:15:42 PM g Date Address 411 E WAOIIJT ST Approval User GBSOtl_05022012_2 Address ———- 2 Active Year – City PRDJCETOII _ Zip 47670 - Holes — ' - Records.1-d of t Wednesday, Nov 15,2017 10:36 AM