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Home My WebLink AboutHomestead_Thomas (19)Cl1UM FOR HOIMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTIOId S�te Fann ss73 (R7 � sd61 Preacrbed by Qie Deoertrrsq of Loml Gooe�vr�d Frw�m INSTRUCTIONS: See iaverse side fcr filing ins6ucGons. . . ., ._'. .. �` _ .. . _...... . . � FOR� Y� HC10 � �we� �-�vYn�-� �- • r��v rrt � � � �a� ��. �— I(We) ocapied as aa prmdpal place of residence the to9owirg desabed real property fa whirh a Homestead T�c t is daimed: � I(We) owned ❑ Are buyug unda mntrad GIBSON COUNTY AUDITOR � Have a benefidal mOere� m the entity tliffi is liade for tlie propeRy larzes on the pvperly and tl�at owns tAe property w is buying under a contracL � � • •CONTRACT;f�CORDED;' '°�`%t� �:•:x': i.' ":F•Y��,�'7i��s'. It huy"�g on �mhect Fee Sirtryle orrtiefs (ame ' ��s � �a �� u �� Rewd number Page Cainry 7mmg d'�/icl (�; fmm, tdnsh¢) i'"' Pa�cel nm�bar � Legal Esni ' r Is Me prope�ty ii �adon: / ❑ Reel poperry ❑ Motib Fbrtia (I.C. 61.1-7) - tl parton dthe �asitlential str�ae a the IaM na1 eaeedug ana (1) �e that RmedWely wnaads tliffi ffiWUe ia used to yod�ua nmma. tlesv�e Ihe m ard pation d P�Wa„YWf�dbpmdtceiimme. 11lo-�d'o7-3ad- oo/ Sy3-o.t8 .s • ` ASSESSOR USE OiiLY �.` .. , � � .. TiN1E�.TAX {eSSESSED VALUE HOi�5iEAD `, � NONRESfD6i71AL`��e, ,�.. -�:x �,,.,�:. '^ ., .��.�' ...:.,, �_.. !�:�,:- VALAIE, „� :AT,100XOFTTV t ::VALl1E t �' �+4'..:..�A"fiyyV/1LUEy,:�S�'sa; "� .. s . .,.�.,�. LarW nat e�ng 1(me) aae imrediafiy �'�� i� `` r'" ' }tii � s�mo�mding residential improvements. �� ,��, o�v} �,i� "i s` ��; �:r��,��?c`�i Otlier Wrd (2) :'t �tr".ie= . Tdal land (Ivre 1 pNs I'ire � (g) }�F -d e .i fr.yr; 3 Y Resdential unprovement5 or Mrwelly �9 (4) r+'vr � v Y� 1 3 J, DweP n YYSr�,?y��L' ;�5�✓��„°(��e?�g�4' �+� � 4y � F_} � ��,�,.. /iSSPSSEd M061�2 / �Y�3fY1f�lEd �i0ff1B �� '[< ! 9 � � � � � F12��'� d` •a'ka`�46� _,P.d _._�M. 7vL• . ti �1+�i.1.. Ct,t#Y Otl�aunprovertien� �g� .. ,.,.�'n;f��,�f,.� T�al "vrryiovert�er� (fvre 4 WougA fine 6) �7� Ti�l ralue (I'ure 3 pda 6ne � ig) I he�eby ¢Ktify the above is true. oorrec� and sgr�ve of Asse�r Date signad mrnplete. �4iryug e�an - Si�ame of Audlv Dam sigrad � � � .STANDARDDFDUCTIONALLOWANCE �� ;.;:, � ��. ��.;v-r�,rd .;K=`��.i�^ck,k?xF. 2(1 _ Pay 20 _ Lesser of 12 Homestrad Valuation w t35.000 S Sig�aa af Auditor � b9��