HomeMy WebLinkAboutHomestead_Sink (3)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
Slate Fortn 5173 (R6I1-03)
Pre�aibed M Ne Depa�trnmt d Loral Govxmrront Fmarxe
INSTRUCTIONS: See revsrsa dW blip 'seeburbory.
FORM YEAR
HC10
� 1 �LJ �
I(We) . certi(y that on the tst day of March, 20
I(We) occupied as our principal place oi residence fhe following desaibed real property for which a Ho €C�mc Credit is hereby daimed:
❑ I(We) owned ❑ Are buying under contract GIBSON COUNTY AUDITOR
' Have a benefidal interest in fhe entiry tliat is liable for the property taxes on ihe property and that owns lhe property or is buying under a wnVaU.
If buying on contraq. Fee Simplo awnefs name
conVaq is recorded
Tawnship
Tating district
Record number � Page
Par�be= o���� �I Leg I de oA/J /� �—� —/O Is Ne proper}y iqp� Droperty ❑ MabOa Homa (l.C. 6f.7-n
I � /. I
�t/ ��6
It any portion of Ihe residential sWCWre w the Wnd not axceeEing one (1 � acre Nat immediatcy wrtounds that swcture is usad b produce income, desttiba the use anA por[bn
ot the proPertY uLlaed lo protluce income.
20 _ Pay 20 _
Lesser of 1/2 Homestead
Valuation or E35.000
$
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Date ' D /��