HomeMy WebLinkAboutHomestead_WenzelCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
` Siate Fortn 5073 (RB! 7-07)
� Prescribed 1he D
by eparVneril of Lotal Govemment Finance
INSTRUCTIONS: See revsrse side /or filing ins6uc6'ons.
FORM Y�R
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I(We) certif¢�y�i on the,7 st,day oi March, 20_
a-., cs�r
I(We) ocwpied as our prinapal place oi residence tlie folbwing described real pro for which a Homestea�Propertf Ta� �t is hereby daimed:
, I(We) owned ❑ Are buying under mntraIX GIBSON COUhTY AUDITOR
, Have a benefidal interest in Ihe entity that is IiaWe fa the property taxes on ihe property and that owns the property or is buying under a wntrad.
If bying on canVect, Fee Simpe amefe nama
Recordefa of4ce where caNeq is recorded
Caunty Towrrship
Pamzl numbar L cn
�`c % d- �U
tt arry portian of tha residerNal sUUClura or tha land nd exceedirg orre (1) acre ihat imrt
of 1ha propeity uli0zed lo produce in e.
�L
�- ��-� % o% ��3. �3o?o-oad�
Counry
Toxnship
I hereby cerlify U�e above sfatements ara We, cortect and comple[e.
ss (number aM sVeeC city, sfate, an0 L��jcrode) �
-� -5 �,/7ton Sf /!,'/'�cf°�1 /iU N767J
County
�=wa
Recortl numher � Pape
�Real property ❑ Mobile Fbme (/C 6�/.1-�
Iha� re is used b produce 4�mrtre, descriDe Uie use and portion
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�_ � . • .. • .
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Lend not exceedirg 1(orre) acre immediatety -i, �':i;.`',� �`,"'� "_ ...".
surrounding residential improvements. (�� � � . .� • . �
Otherlard (Z� :':-. -.
Tdal IarM (line 1 plus line 2) �3)
Dwellirg (4) � .
Residential improvements or Mnualy
Assessed Mobile / Manufactured Home - - . . -
Garage �5� . -_ .
,.- ,
Other'vnprovements (6) ''`"-'- -
Tdal imprwements (line 4 through lirre 6) �7�
Tdal value (line 3 pha Gire n �g�
I hereby [artify the above is We, corred, end Signawre ofAssess« Date signed (monN.Oay, yea�
comptete.
veity�� aao� - spnaw�e aa,d�iw Date signed (mmN, day, yea�
..-.. . . .
_ pay 20 _ qs ppp {or 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 12 qq�000 for 2008 pay 2009 41,000 for 2071 pay 2012
Homestead VAuation $
a 43,000 for 2009 pay 2010 40,000 payable after 2012
SignaWra of Audita Dafe signed (mmth, dey, yea�
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