HomeMy WebLinkAboutHomestead_WilkinsonCLAIM FOR HOMESTEAD PROPERTY TAX (, FORM YEAR
CREDIT/STANDARD DEDUCTION � � Hcio
Sfete Farm 5173 (R6 / 4-03)
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���°.E�..�'.$�m?^�-"'';�':�;�`�R_"''� `��3.�x��:?�� F,ICATON�STAlEMENT» ,r-F,"�'„�::� -�. ,as-r� .` `,�-y.,; � ..,a,,;;,,i :��,
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��e) certify lhat on the 1st day of March, 20_
I(We) occupied as our principal place of residence the following descnbed real property tor which a Homestead!Properry TacCredit is hereby daimed:
ir /« �., .C. i+�
❑ I(We) owned ❑ Are buying under cont2ct (�/ V
GIBSON COUNTY AUDITOR
� Have a benefidal interest in the entiry that is liable for the property taxes on Ne pmperty and that owns Ihe property or is buying under a wntract.
If buying on conVact, Fee Simple owners name
Recorders ofica whera coniracl is remrtled
Toxnship
ll/ / — (�/ v�.s (�y ( y/IALYU//�GLI�
If any poAion of Ihe residential sWCWre w the land not axceeding one (1) aae ihat
of Ihe pronperty util'aed to produce irimrtie.
��� /
Taing tlislrict (ciry,
surrounds thai
Rewrd number � Page
Real Droperty ❑ Mobile Homo (/.C. bf. f-7)
is used b produce income, desai6e Ne use and portbn
'��� 'r=A ES O U E N Y� ?r�� ��TRUETAX �-s� ASSE5SED VALUE ,`��HOMESTEAD�"`� �NONRESIOENTIAL �^
{�i���; .�-�+.�,-�gan-��;_,��`qy,y�+�..� ��VALUE� .+.Y AT<100%�-0-0F`TfV�r �'=VALUES'��° ��k"' 'kVALUEt'!�i;+^`��
-.,s i.."�#rs'c,..a. ,.rfl�..�''' �v :i'?':.. �: a.,.,u k.�
Land not exceeding 1(one) aae immediatety ° y�"=`:-y�x"i-.� '-� -��'�� i Y?;
surroundingresidentialimprovements. (�) �� �'�b*`� �����3'�a ��
,�.��.. -'��s,d?..a.'-'i..v,�'� :
Other land `��'"�� `T3f
��� ��� ��
�.� =
Tdal land (line 1 plus line 2) (3�
r X'. F "'-t'�' . "—vF�
.,@� FiZ.^ .-�+d � bt-haT!'' .'?�
Dwelling (4) �i"2o��. .9 �l��y��
Residentialim �'-°' °�
provementsa�MnuaOy ,�.�' r_`�,Y_
As� MobBe / Manufactured Haro Garage (5) '.e j�-„`'-,. �-� -.:�:';.��
a.: �-,-
��' �
Otherimprovements (6) ����..-1�'.-�-.., �
�e.�,r
TUaI improvements (lina 4 through line 6) ��)
T�tal value (line 3 plrs line � (g)
1 hefeby certi(y Ihe ahove is W e, coned, and Signature of Assessor Date signed
mmplete.
Veritying aclion - Signature oflwditor � Date signed