HomeMy WebLinkAboutHomestead_ThibodauxCLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
y �' 1 Slata Form 5673 (R8! 7-07)
Prescribed by Ihe Deparlment of local Govemment Finance
INSTRUCTIONS: See reverse side /or filing insWCtions.
FORM YEAR
HC70
I���
i(we) _��Ti�� ��.] �e�n�y �� ol m9 i��ca� of March. 20_
I(We) occuwed as our principal place of residence the foilovring described reai property for which a Homestead Property T�c,� it is hereby daimed:
�5 �� i(We) owned ❑ Me buying under contract R
Have a benefiaai interest in the entiry that is liable tw ihe property ta�ces on the property and Nat ow�f31@.�Qf2S�erey�oiTsYooym��un@der a cantrad.
It buying on cronlracl, Fee Simple ownets name
Recorder's office where wnUaC is recortled
County Tamship
If arry portion of lhe residential sirucW re w Ihe land nW
of Ue D�PBKY utiGzad �n produce income.
IRecord number I Page
. �
Tacing distnct (cdy, to•+m, fo:mshipj
^�/� �I� Is Ihe properry in question:
�p/ fJLi ❑ Real property ❑ Mobile Fbme (IC 6-7.7-n
one (1) aue Ihat vnrtcedialdy wrrountls that structure is used to pro0uce incortre, Eescnbe the uu and porlion
•�• • � c • �
Counry Tavnship Counly Twvnship
I hereby certify the above sfatements ere true, wvect and complete. i e oi daimant
�V
s numberarM sireeC cAy. sfate. antl ZlPcotle) -
uJ-� S, n� Ce T r� . —I 1 O
.- .
. . .. . .
., . .
Land not exceedirg 1(orre) a�re irtmediately � , ��° ��' ��'
surrounding residential improvements. (�� . - ..
Other land (p� � �
Tnal land (line 1 plus line � �3�
Dwelling (4) .
Residential improvemenis w Mnually
Assessed Mobile / Manufactured Home .. . .
Garage (5) . - • . . '
Oiher improvemenis (6) - � � �
Taal imprwements (line 4 through line 6) �7�
Tdal value (line 3 ptrs lirre n (g�
I hereby certify Ne above is We, correU, and Signature ofnssessor Da�e signed (mrx,fh. day, yea�
wmplete.
Vaifyi�q adion - Signa Wre oflwditw Date signed (mmlh, day, yee�
GO _ pay 20 _
Leuerof tl2
Homestead Valualion
w
45.000 for 2007 pay 2008 42.000 for 207 0 pay 2017
44.000 for 2008 pay 2009 41.000 for 2017 pay 2012
43,000 for 2009 pay 2010 40,000 payable after 2012
(manN.