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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
Stete Fortn 5t73 (R6 / 4-03) . •' . _ _
Presaibed by tlro DeOarhnmrt d Lazl Govmnrtbnt Finarwe
INSTRUCTIONS: See rovorsa aids W�`np inffiurb'ona �`
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HC70
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� M�e) �� '� � � certify that onlhe 1sl day �of March. 20
I(We) occupied as our prindpal place oi esaibed real pmperty (or whi om tead Propedy��'Qe�it�4s97ereby daimed:
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❑ I(We) owned ❑ Are buying under contract GIBSON COUNTY AUDITOR
' Have a benefidal interest in lhe entity that is liable (or ihe property taxes on Uie property and that owns ihe property or is buying under a conVaU.
il6uyirg on conVact, Fee Simple ownefs name
Remrdefs oifice where conVap is remrdeA
c ��'Ri!f?i�fir'�Y4'�`�.JT:;Y
County Tawnship
disUict (ciry,
Record number � Page
P�qe� /fibe� �O/�_� Legal descnplion I Is the P�De in uesDroperty ❑ Mobile Homo �LC. 67. f-n
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H any portion of the resiAentlal sWGUre w Ue land not exceeding one (1) aae ihat immetliatety wrtounds that sW re is used W produce income. describa Ihe use antl portion
of tha DroPe+�Y uW¢ed b produce i�ome.
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20 _ Pay 20 _
Lesserof 1r2 Homestead
vauamn or f35.000
3
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