HomeMy WebLinkAboutHomestead_Lance (2)CLAIM FOR HOMESTEAD PROPERTY TAX (1 FORM Y�R
CREDIT /STANDARD DEDUCTION �1 HC10
` State Form 5673 (R817 -07)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS., See reverse side forfiling instructions.
I MIa) L � certify that on the 1 st day of March, 20
I (We) occupied as our prin ' I of residence the following described real property for which a Homestead Pro per f�,edlgt,sby claimed:
I (We) owned :31
buying under contract GIBSON COUNTY AUDITOR
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.
CONTRACTRECORDED
If buying on contract Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
Taxing district (city,
umber I q-- I O _3Da_{ �.0 /� -3 -oo / I Is the woPenYLVffllsal property ❑ Mobile HMe (!r; e-1.1 -7)
Its portion of the residential structure or the land not exceeding one (1) acre that immediate y surrounds that struftum is used to produce Income, describe the use and portion
ct the property utilized to produce income.
ASSESSOR USE ONLY
ASSESSED VALUE
1 HOMESTEAD
NON-RESIDENTIA
AT 100% OF TTV
VALUE
VALUE
Land not exceeding 1 (one) acre invnediately
surrounding residential improvements.
Other land
(2)
- -- --
Total land (lime 1 plus fine 2)
(3)
Dwelling
(4)
y C x54 lac -
Residential improvements or Annually
Assessed Motile I Manufactured Home,F
Garage
(5)
-M- ?' ; t a.
Other improvements
(6)
Total improvements (line 4 through fine 6)
(7)
Total value (line 3 plus fine 7)
(8)
1 hereby certify the above is true, correct, and
Signature ofPssessor
Date signed (month, day, year)
complete.
Ve dying action - Signature of motor
Date signed (month, day, year)
20_pay 20
Lesser of 12
Homestead Valuation
or n
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 S
43,000 for 2009 pay 2010 40,000 payable after 2012
non ya!r) 05
DQ