HomeMy WebLinkAboutHomestead_SpeedyCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn SC73 (R6 / 4-03)
� P1esaibe0 by Ne Departmerrt of Local Gavemment Finance
INSTRUCTIONS: See ieverse side )or filirg inshucGwis.
C FORM YEAR
� HC10
p`� F 1�
� �e) � • � � ' ' certify that-p�/ the,l�d�of March, 20
I(We) occupi as our principal place oi residence t� following s ribe real ptoperty tor which a Homestead Praperty T�t Credit!5 hereby daimed:
�e) o ed ❑ P,re buying under contrect GIBSON COUNTY AUDITOR
, Have a beneficial inferest in ihe enGty that is liable (or ihe property taxes on the properry and that owns the property or is buying under a conVact.
If buying om m�taa, Fee Simple owners name
Remrdels oifice where conVad is recorded
County
Parcel num6er
61� -GIU�j3- c�
it any portion ot the residenGal sWaure w
ot the properry nWtized to produce Income.
7 ��
Tovnship
(uty, fown, township)
Rewrd number � Page
Legal d`esIcnption u !� /\ Is the O�operty in question:
�� 1`� � P� I V� Ol �`V ��� G��PartY ❑ M1iobila Homo (I.C. 61.7-7)
d not excaeding one (1) aae that immediatey surtounds that sWCture is used to produce inmme. describe the use and porlion
County I Tavnship
I hereby certify the above statements are We, coved and complete.
(numbe�aM street, cfty, state, ZlPcode)
County
Twvnship
�-�-.'F. �>,���,��.._e.,..STANDARD;'DEDUCTIONALLOWANCE,.s,�"' ' '"�"�'��'���x��'
. � � . „ �-s ... � -
'j'.F�.r.e�.:�ik =3�'a�i".nLlc � '�.�^'� r',n'y� _�'br3?idit`.3,h.�-�e'a�,�oY3�'�i ..Px,s. _ .sy,a�.ws:i
�.z�. .;t^
. _.. . ._ .._ _ _.
20 _ Pay 20 _
Lesserof 1�2 Homestead
Valua4on or S35.W0 g
Signalure of Audilor ' Dale signed