HomeMy WebLinkAboutHomestead_MachonCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
SYeta Form 5173 (R6 / 4-03)
Piwaibed by tM OePerOmerrt d Local Govemmmt Finaxe
INSTRUCTiONS: See rayc+so a6da br �tp iqburb'ont.
1�' �
FORM YEAR
HC10
�� u ,�
1LJ
I(We) v� certilv�that on t e st day of March, 20_
l"/a�-.
I(We) occupied as r principal place of residence Ihe following described real property (or which a Homestead Property a��f;redit is hereby daimed:
h,
!�. We) owne ❑ Me buying under contract GIBSON COUNTY AUDITOR �
Have a beneficial interest in ihe entity that is Iiabie for the properly taxes on the property and that owns the property or is buying under a conUact.
I( buying on coniracl, Fee Simple ownefs name
County
Parcel number
If any poNOn of
ot the properry i
whera coniracl is remrded
Tovnship
r�� Vrn�
sWCWre w the IanA nW
ice ifxome.
oneft)
Remrd number � Page
townshiP)
Isthe pro m quesfion:
_ �Real Droperty ❑ MoElla Homo (I.C. 61.7-�
wrtounds Ihat swqure is used b produce inmme, desaibe Ne use and poNOn
� t •� ti ,�''� �>.��..,��_.' ' � � � �...».+.s,y � . *•� .L +.�.+. `tx k
-�. �,
�ni-�- bASSES50R�USE ONLY . � � t� �,� f � TRUE TAX�r�,� ,ASSESSED VALUE � ��OMESTEAD' ��y" �iNON-F2ESIDENTIAL �:�
�,�•d,e, . -+-�+�cw„£{���;,_��-�. ��''� VALUE�.�,� _AT 100/a'AF�TN.�, �F^°.PT�VALUE� 2�s�as�S..,�.,VALUEo-ai�z^�t,��
Land not exceeding 7(one) acre immediatety ��`� „�`i �?�"��yD".� ��S-�a•+«. e�.�,
surtounding residential improvemenLs. (�� �` J "''�`�q"�x' ��s&
`v� �f:.3° ��R.-"�+i�y`
:a.TFe� J�'St: � .
Otherland (2) n��_�
a:Y�?C�
Tdal land (line 1 plus line 2) (g�
�.r��1'° ���`� =
Dwelling (4) � rt � z� � ,:• �
�Residantiel improvemenfs or MnuaOy `�'"A"�" '�'��'�'� �
Assa�ed AAo68e / Manufactured Hmie Garage (5� ��''�t'�� Y�;- o�� iz
-,-�°.�5���,L� � a ��
�'���J
Other improvements (6) ��� �
--.'�... .'35.c_,:o
Tdal improvemenLS (line 4 fhrough line 6) (7�
Tdal value (line 3 plus line n (g�
I he�eby certi(y �he above is We, torted, and Signature o(ASSessor Date signed
complele.
Verifyin9 acUon - Sgretura oflwdimr Date sgned
20 _ Pay 20 _
Lesser of 1/2 Homestead
vauabon a 535.000
5
SgnatureofPLdilor " _ �Dates'gned