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Home My WebLink AboutHomestead_YoderCLAIM FOR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION St� Fortn 5/Td (it7 � 5-oe) Presabed by the Depatrr�errt of Lo�l Goramiae Frmwe INSTRUC710NS: See ieverse side /or filing instructions. , For�e � HC10 �� (M�e) " U certify mat on aie t st aay m Mard�, 20_ I(We) ocwpied a prmdpaf of resider�ce fhe to6owirg descnbed real property for whitl� a Hanestead Prop�y�,�ereby daimed: �� g �� GIBSON COUNTY AUDITOR Have a benefidal mterest m the entity tliffi is liade 6or C�e pfopeny tazes m the property ard Ciat owns fhe poperty or is buyu�g under a oontrad. M Rry'rg on cmtra4 Fee Sirtqle awrefs reme �b Pa�cd narma d�ie o�pe�ly WIOIeti i!lemfCBA sN�ae w ra u�mne. � Rewd number a Pepa .�/ b tt�e paperty k� Question: - 2—.0 P� o�m ❑�b � u.�. 6,.,-n ig one (,) ace tliat:mreda0ely a,me,� Ih� ffi„d�.e ia �aed In,md� inmme. deavbe Iha �se eM ,Wion aC:'.i, �.�.� ...�; � i�. ,..':.� _ _ ' _ _ . . . �.. , n - .�... 1 ..5 . . . , f ` . _ .:. . , w�oP�rY o�m s�(, .n.uo�/�T a ohie� cou�r�s . , 4. 3 ,P,'�S . � .... .: 3�.�:. �' County Tamship Counly Tprnship I Aereby oertiry tAe abwe sia�fs me true. cared ard carqle�. 'a d damaa i � ��,t�. �a �r. on: sm�, z8 om�� F� rASSESSORUSEONLY ..."- un ""�syi4.. TRUETAX s c. �ASSESSEDVALUE zr�F10tlESTEAD`� a u�NON�iF.SIDB171AL�Y�'�,}�`� :�;. s, 'w VALUE; ' AT 100X OF 77V n .V/LL.UE t+� � k`' %�VAUIE � n� � � i - � • � .:t, C..'4:' at.� ''� ;e2;33'M�r�.. .Y�. h'c,..."r'.�.v LmM not e�ng 1 (one) aae irmieda�ly ' : C ��Si - '.. `� ?�;,e._ �� ?c. surtwmd' 25identiel i �emenfs. ( ) '� t ''�.i,> � t .•,v� ;` t^,5try,' � �� .i�-^s.-�`i`r#s..! � Sr- I�. . siYt-.3.:» Da18f�9fld �2� ... . ,!{ �v.._y_1'�. _ f�.. C Gn� ` ly: T� IarM (I'vie 1 pkrs �e � (31 i �h #t.��`i',�,'�Sy r a� �t �.. i � �j � Residential'vnpiwei.ients m Mrnialty ��9 (4) � ,�,. �23�� s i �is � �'_ }-c��"�Y AS�S'.Bd MaWC / I�W`.eCL18d Fbrt1B .y a t�:��r t,, � r ui � y� �; / t � j� + �L�N.A�� tiv'tT r" � ��e l� � !� �'"�L6 fi� � 1��F �.+�M .:�. . ,�-..y ; Qd19i QIipIOVC1fIPl1� �6� �? �� •'1'%%1r.� 1 ";'l:•e �ih^ ��t� �_w Tdel unprwerner� (fvre 4 tlww,�h 6ne 6) (7) Tdal value (I"aie 3 pds 6ne � (g) I hereby certi(y tl�e above e true. can.d, and SiBr�ama ofAsa�so Date sipg�ea �e 1�iryug eftlan' Signa4ae W Audnu Date signed 20_Pay20_ I Lesser of 12 Homestead Valuatian or 535.000 S