HomeMy WebLinkAboutHomestead_Whitehead (5)" CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
` swe r-o�m sa�a (Ra i �-o�>
�` Prescnbed by �ha Department of Laal Govemmenl Finance
INSTRUCTIONS: See revarse side /or filirn� inSLUCL�ons.
FORM
HC10
FI�,�
YEAR
D
i�we> /,C/ .� 1�vIA/YY/ / i �lOb � certify that on ihe 1 st day of March. 20_
I(We) oocupied as our prinapal place of residence the foibwing described real property for which a Homestead Propet�Yi�7�c C�' 1 ereby daimed:
/�' rf`�
�(We) owned ❑ Are buying under oontraG GIBSON COUNTY AUDITOR
Have a benefidal interest in the entiry ihat is fiaWe fw Ihe property tazes on the property and that owns the property or is buying under a contraG.
tl biry"o�g on canirac4 Fee Simple wrt�efe rmme
Rxatleh affice where cartraa is
Caunry
Parcd number
Tw�nship
It airy portion of Ure residential sVUCture w the Wnd no1
d Ihe properry ulilized b produce inwma.
Racwd number I Page
�- Is Ne m question:
�eal property ❑ Mobila Home (IC 67.7-n
(7) acre Ihal immediately surrounds Nat sinicture is usetl b produce inoome, de5cribe Ue use aM portbn
a �-�a -0�-4o a -�. �57-oa�
,_ , . . .. . .
„..
Land not ez�rg 1(one) arre immediately ' i ��'�, ..� "
surtoundirgresidentialimprovements. (�� :' �:.,y� �:_�..: . _..t_, �' '
Otherlard ';''�'=��z°:�";"`.' .
(2% =; ,r i••; ° .,. . ..
Tdal land (Irne 1 plus line 2) (g)
; --
Dwellirg (4) " � , _
Residentiai improvements w Mnualty . � , �'-_
.4ssessed Mabile / ManufacWred Home „ r� �_ . � � .
Garage 5 '' �.y..,.., .
� ) ..:s....- Nk-:_ -
.t � .
Othu improvements �g) �:;�_-_i ::;{"t�: �-� �._ •.
T�al improvements (l'me 4 Uirough Gne 6) ���
Tdal value (line 3 pl�s lirre n �g�
I hefeby Certity the abwe is true, COrtett, and SignaWra of Assessw Date signed (month, day, year)
complete.
Vaifying adion - SignaWre of �tor Date signed (rrimlh. daY• Y�/)
20 — PeY 20— 45.000 for 2007 pay 2008 42.000 for 207 0 pay 207 7
Lesser of 12 yq,000 for 2008 pay 2009 41,000 for 2071 pay 2012
Homestead Valuation
a 43,000 for 2009 pay 2010 40,000 payable after 2012