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HomeMy WebLinkAboutHomestead_VandenBrookCLAIM FOR HOAAESTEAD PROPERTY TAX CREDITISTANDARD DEDUCTION S�e Fortn 5473 (R7 � s-Obl PreacfieA try tlie DepeMart d Loral C�uertmad Fnar� INSTRUCTIONS: See ieverse side lor 67'v,g insbetitions. ����D F��Y i zo, "�"R HC70 � � GIBSON COUNTY AUDITOR I(We) ( it/ (il `f v(/iriQ[Cy/tlt.� •• •— ��y that on the tst day of Mardi, 2(1_ I(We) pied as aa pmidpal pWce ot residercc U� fo9owirg desaDed real poperly for whirh a Hanestead Property T�c Gedit is hereby daimed: ��(We) owned ❑ Are buyug urda cantrad Have a benefidal mterest m the entity Mat is liade fw the property tazes m the poperty arM Mat owns C�e poperty w is W�rrtg under a contract '�+'� �� 'r: � � ' � �� � CONTRACT:RECORDEDi:Yt'�'' .s.:r � ��'A,:"�'i� � .."'FY�'3..-:F.'. i;�' M hryM9 on mNaq. Fee Sirtryle owrefs reme fLamders a46ce whae mrmed L+rervded Recad numbar Pepe Fv. . � .�i'�. ,'.� : � � . . y,v� 5 Can�Y TavrsbP I�: � Parcel nmmer - Legd desaiPlim Is Me papary in quesliar. S 7- 01. D ,,3 ) A L ❑ r�m ww�r ❑ �wub � c,.c 6,.,-n n � m u,e ���,w� a ma �a �,a �� o� �i �� m�:��a�y a,�,a. n,� stiar.a � ��a m�om� :,m�. a�m u,e ��a co�ua, w�ronY �dismd m w�� e�mne. a�•!a -o� - 3oa-oo�.3aq-��-8 ' -'�'r t a'+ �� �. ' �. �: '" � . � .. v � � �'S. n TRUE TA7C a AS� VALUE HOMESTEADj . �'�`� ar NONRESID@JTIAL���� � . L#. ` { ASSESSOR U� WILY � h � � � ., �,E VALUE�n c � ''AT,100% OF T7V s � �.' V/1LUEt5t..�'a` 1 i `�,« „�; � �1Yl�,�:VALUE �-,;;.'�4�. � LmM rat excee6ng .� �one� aae �rtrr�a�y .. , � � � �'i � �r�+sa•� A' �ry�'. t«''"�'' ���' � � - a z > '� - t� � �*' �'4:Y SirtfauMviy BSidenti2l �rt�prVVert�enfs. �) ;1 ?i"#u w)a a:: s.-'iP+ .�a`�S`^.,-»,`�£. s a`a+ a t Otl�er�and :''rG'� er ��> �3 �'� Tdal land (l'v,e 1 pkrs !me � (g) f y�.i �} y � ✓ �LF ..�fi4 ��y,s,�i" st r4K - t,� � f "S� Resdential'aflpfOVeTentSafMflu2fly ��� �4) �fTS..',.���a�"✓{'�'�d�s���3i�t^TscM1�� Ass¢s�d AlOdle / Mamlfac4led FIOn18 . � y n�,a{ N��++�_ L. � r!;�+'� ye�� {t �.yit�N�i��+yy��{� �.�;'.fi ��9e �$� 't r[1Y JS'"..�,,. .'e .L��. JF3ti?r.�e S.•� ,-�ii' r:.:;�': i �s _ ' Other "vnpovert�en� (6) ,;' � � i � T� vnprwernenls (fine 1 throut� 6ne 6) (� Tctel value Qure 3 pds Gne n �g) I Aereby certiy the above is true. owrect. ard Sigr�se otnssassar Dam egbd mmPlete. vairyinp amm - si�snae or a,�ml oam signea � .,•� ���STANDARDDEDIICTION'AI:LOWANCE�-� ��v?z� + '.::f''s .w.:1✓`:,.��..ott.o"-'`;`S,F,�,x¢?",�)'i. 2(1 _ Pay 20 _ Lesser of 12 Hortestead Vatua6m or f35.000 f si�ae of l4dmr � ��