HomeMy WebLinkAboutHomestead_Thorne� CUUAA FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
Slsta Fortn 5173 (RB / 403)
Pro�afbed by the Dapertmmit d W�xl Government Finar�e
INSTRUCTiONS: See reraas adda br l�p i�ffiu7ioM.
FORM �
HC10
1(We) t�.df�iJYV.Si� �� � 1`.Cl Vr��� � �w�y�`��y��y1�d ofMarch.20
r
I(VJe) occupied as our principal place of residence the (ollowing descnbed real property for which a Homestead Property� Cred' hereby daimed:
❑ I(We) owned ❑ Are buying under conlract
GIBSON COUNTY AUDITOR
� Have a benefidal interesl in the entiry that is Iiable for fhe property taxes on the pmperty and Ihat owns the property or is buying under a wnVaU.
if buying on conVaq, Fee Simple ownets nama
Counry
Tamship
H any po�ion of ihe resitlenifal sW Gure w the land not �u
of the property ulif¢ed tn praduce inmma. _•
L/ 1 � T
Record number
Tating district (ciry, (own, (ownship)
Page
I' I / 1� I Is Ihe pmperty in question:
L ��
��, V'� ❑ Real property ❑ Mobtle Homo Q.C. 61.7-�
one (1) aae that immediatey wrtounds that swcture is used to produce income, describe Ne use and poNon
ra'�"ft' Y °-�?' 'Y :e- �.c ]vS . . "i_ ' " a�� �
�r��� '�'��A8.VSES O���U�SE ON Y x`�'�"s�.�.��' � TRUE TAX� �vk ASBESSED VALUE HOMESTEAD�_ �,NON SIDENTULL��
"r,ei. `'��� .� v ������� � �VALUE,�iis��; _ AT�100/z'.OFTT/� � VALUE�� ���-��;?�VALU���.
�-.�:�..'��.. `�:.,,.aY x'ci�}`.'$t�"���us.
Land not exceeding 7(one) aae immediately (� ���� -�!;�,�-��"�.�?a"-� `v'�
surroundin residentialim rovemenls. � �'° "'�� �:%z �
9 P '-m.�k _ � r . �.�s. .
Other land a' -� �'���=�
iZ) x��-��"'�`�'-�.�E
Tdal land (line 1 plus line 2) (g�
- e�-r ,�w .du •-�
� Dwellin 4 �" � ��� q'�"�'�f'—"'�'}
�ResidentiallmprovemenffiaMnuaOy 9 ( ) ��,--.�'�--��+,"P..s.4 ' `���-`�
Aese�ed MabOe / AAanufacWred Harrro Gara e 'r�'�^��'t v":-'.`s�`-s'-`, :.
9 (5) ���i3"�ye�� (�r
':� r:y1P'�,'°"°'`�Y`r
„�,y,•: �}, "` �..
Other improvements (6) t>�� ,�.,z
L� z`'c-c'�7it-"'a.
TUaI improvements (line 4 fhrough line 6) (�)
Total value (Gne 3 plis line � (g)
I hereby certify the above is We, corred, and Signature otASSessor oate signea
complete.
Ve�i(ying adion - Signature oflwdimr Date sgnetl