HomeMy WebLinkAboutHomestead_WestbrookCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
� ' ! Stata Form Sd73 (R5/10-01)
••« Prescribed Ne De
by partmeM af Local Govamment Finance
INSTRUCTIONS: See reverse side !or filing instructions.
FORM
HC10
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�(We) �.�/l/u� W/L� /_�1��%� �i �X�.K. /certify Ihat on the
I(We) occupied as our principal place of residence the following described real property for which a HomCaiead Pro e ac
❑ 1(We) owned ❑!ve buying under contract ' GIBSON CO'J'r.�
`Have a benefidal interest in the entity that is liable for the property taxes on the property and that owns lhe property or is
I( buying on coniract, Fee Simple owners name
Recordefs otfice where conVac! is recorde0
Tamship
H eny portion of Me residentiel sWCture w Ihe land n0t exceetling aie
ot the proPerry uWheO m produce income.
I hereby ceAify the above sfatements are W e, coneG and complete.
(number end streef, dty, atafe, 21P cade)
s /!
Record number
7aing
YEAR
oi March, 20
is herebv,daimed:
contraU.
Page
�Q` [�Q,.,Real property U Moblle Homo (I.C. b1.7-7) .
wrrounds that s cNre is used W produce income, desuibe Ihe use and portbn
a i-���c�'�`�'�'-��"�''-'� ��'���:..`- :"�`TRUET�AX -�, � �ASSESSED VACUE �HOfdES �` `�° � NON-tiESIOENTIAL
��#ASSESSORUSEONLY n -� y,qLUE=�-�„r ;"`AT�t00%OF'7lV 43e_VALUEr �" ��.�`�''.`,VACUE�'-�..
t ��a.�XES. '�.:�us° _•"i�'t4h2?� n����{�'•.v`"',t�-.'�.. v �-.�.., ,',S �.. ..� Lti�
Land not exceeding 7(one) aae immediatety ��"�*'"�'" �w �°��"i,s�,��stu'i�
surrounding residential improvemenis. ��� '. �a,�Q.,y���i+�.'���-?�yr�;£
'��'u:';�_, x4_':: �
Other land (Z� .::'�°,yTM�y��;�
. .�s�fs.i,�-�"�
TUaI land (line 1 plus line 2) (3�
'T � - Y`��"x"� �`• �
Dweiling (4) N�r,.3+�-�� +. . ���� �
Residen6al imprwemenfs �`�'`A"�"�`"�'��"r�p'��"�'� �"�£
( ) �:3,�,+� g ,^.�^.^ r_ :1,,
Garage 5 �:. ��S�sz! .f��%
?-�'`�� yY�k
ONer improvements (6) �-� �,?f���� -
>s.�,.!: .s:.
Tctal improvements (line 4 through line 6) (7)
7cial value (line 3 phs line n (g�
I hereby certify ihe above is We, corred, and Signamre of Assessor �ace signed
complele.
Vefilying action - Signature oflwditor Date si9ned
20 _ Pay 20 _
Lesser of 1/2 Homestead
Valuakon or $6,000
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