HomeMy WebLinkAboutHomestead_Williams (3)CLAIM FOR HOMESTEAD PROPERTY TAX I#k YEA R
STANDARD /SUPPLEMENTAL DEDUCTION
State Fores rth 5473 (R13112-09)
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Prescribed by the Department of Local Government Finance
INSTRUCTIONS., See reverse side for filing instructions. APE 2 20v
TIf,,. ��.-.CERTIF;ICATIOWSTATEMENTr l.'�y'_,'..+,i ;- :nia'_t;t `:,••c :..x 4v e. Y'if..rrs'.,',,. ?%_<
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I (We) A certify that I (we) occupi as my
/
place of residence or a Deduction
GIBSON COUNTY AUDITOR
er contract on the
Own El Am (are) buying under recorded contract
Am (are) entitled to occupy as 11 lenant-stoclhoider at a cooperative housing corporation
Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust
F-1 Am (are) the shareholder, partner or member of the entity that owns the property.
sex,�_,CL'AIMANT, NFORMATION�i.?ti_ 7Y
Social Security numbw of claurant's spouse (kW Fw ditifts)
Drivaes license I Identification Other nunIbar
,-�`:3 _ ,.- ..- r.y�re.:f - t".xt =�.+f•_s�t+itt�I�+
CONTRACT: RE_ ORDEDt ..tr- :._$ri4- ...�..;.- aY.xS ".,Y'�.4.'.i..__..n.r F._s_a. ,.: ,.i,
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If any portion of the resid=, s:ucture or the not e=eeding one (1) acre that immediately sitniounds that structure is used to produce income, desciribe the use and portion
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of the Wopeny Utilized In um noorne.
kPROP,ERT.YiOINNED..BY CLAIMAnT IN OTHER�COUNTIESy}s`�y7.,
ON fiESIDENTIALf' Q;
1,e ASSESSORUSE ONLYys +i'rr�TRUEtTAX VALUEryI4,AT'109 V'"' += s�+.ss
N is OF
Land
--
Residential Improvements or Annu
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STANIARD.DEDUCTION,' ALLOWANCE *. 6t
20 pay 20 Lesser of 60% of the assessed value of the homestead or $45,
not assessed as met atoperty or to a rrianufacturad home that is nol assessed as me) property my not a
&Ia-haff (1/2) of the assessed value of Ow mobdo h� or rnanufadured horne.
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