HomeMy WebLinkAboutHomestead_Walker (15)CLAIM FOR HOMESTEAD PROPERTYTAX FORM YEAR
CREDIT/STANDARD DEDUCTION Hc�a
State Fam 5473 (R614-03)
PreaMbed bY the DepertmeM oi Laxl Governrtbnt Finance �
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�-_'�'--° ��r��r�^� �a.��•^•,�-�� i.=�^3.�CERTIFICATtON�STA7EMENT"a a :a._,a _ .,_•e„ -+. .
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��e) V\�=�LIJ._s_�� �-�-+��� certify that on the tsl day of March, 20
1(VJe) occupied as our principal place oi residence lhe following described real property for which a Homestea��ty �it is hereby daimed:
❑ I(VJe) owned ❑!ve buying under contracl ��
�IBSON COUNTY AUDITOR
� Have a benefidal interest in ihe enGty that is liable for the property taues on ihe property and that mms lhe property or is buying under a conVact.
If buy4g om m�iracl, Fee Simple owners name
RemNels olfice where mntracl is recorGed
Counry
Counry
Tamsn�v
Legal
idential sWCWre w the Wnd not exceeding one (t) aae t�at
N produce irrcome.
Twvnship
I hereby certi(y ihe above statements are W e, corted and complele.
(numbar and street, cily, siate, ZIP cnde)
7acing d'atrict (ciry, town, township)
Is the O�PertY in queslion:
❑ Real D�op
Record number
❑ Mobila Homo
Page
61.
surrounAS that sWCWre is used b D��uce income, describe Ne use antl portion
ol
Tavnship