HomeMy WebLinkAboutHomestead_GonzalesCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Foam 5473 (R614-03)
Prescribed by the Departmein of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
i J FORM YEAR
F1
I (We) ( 444 V, �� I I 4-LA 11-1 VI-11 - a I -V"'y of March, 20_
1 (We) occupied as our pn7nct'p;i place of a efoilom &scribed real property for which a Homestead MPro t/i edit is hereby claimed:
D I (We) owned ❑ Are buying under contract GIBSON COUNTY AUDITOR
0 Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
RECORDED
If buying on contract, Fes Simple owners name
Recorder's officer where contract is recorded Record number Page
M'4PROPERT.Y- DESCRIPTION
Cou
County
Township
Tomnship
Taxing district (Gdy, to
CD
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AT�100W F TTV.
the Property in question:
'WP7,5EZ-
o26-a-�
)c Real property ❑ Mobfle Home (I.C. G7.1 -7)
If portion of the residential structure or the LM not exceeding we (1) am that immediately surrounds that structure is used to produce income, describe the use and portion
of7a property utilized to produce incorr%e.
L
/2052- L2
�t�,77 PROPERTY OWN ED: BY,C LAIMANTAW OTHER COUNTI ES'!� � z ✓
County Township
County
Township
I hereby certify the above statements are true, correct and complete.
arm
0nu d net, city, ZIP code) -C
5 0e,1111,,
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AT�100W F TTV.
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M A"f N '-N
t', T-RUE-TAW k V
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,HOMES TEAD '
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VALUE
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AT�100W F TTV.
Z�,4.VALUE
Land not exceeding 1 (one) acre immediately
.4,
surrounding residential Improvements.
Other land
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
!�per improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
00' tots' Wlps 'a
m�i-A STANDARD DEDUCTION 'klit:OWANCE-e'<,'
20 _ Pay 20_
Lesser of 1/2 Homestead
Valuation or 535,000
Signature of &djtor Rate signed