HomeMy WebLinkAboutHomestead_McIntyreCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
Stela Fonn 5473 (R7 / &W
Prescribed by the Department of L=il Government Frherhah
INSTRUCTIONS: See reverse side for Ming instructions.
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GIBSON COUNTY AUDITOR
certify that on the 1st day of March, 20_
real property for which a Homestead Property Tax Credit is hereby claimed:
Have a beneficial interest in the entity that is fiablil for the property oozes on the property and that ovrris the property or is buying under a contracL
-L +ny
COKTRACT<RECORD ED
N buyng on ..b Fee Simple ownees name
Ratudees afire where canow is receded Reard number Page
o-PERTy owKt6sycLAtuAwT.bio
OTHER COUWhES
V PRO P —ERTY D ESCM F rlQW
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I hereby certify the above statements are true, correct and cornpLete.
Tamnship
Tmzm
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-N.W— (number and sheet I yKl 61
9 5 kMrl C �� —T--kt 4 (a
Valuation or $35,000
r7cily
%towrmho)
Signature of AAtw
Parcel nurriber
Date signed
Is the W-pt(rquestim:
Land not exceecling I (one) acne iarnediately
OMW I
X
Yd Real property
❑ Mobile H (LC. 61.1-7)
If wvy portion of the resedentud structure or the land not exceeding erw (1) acre that in adiatslV =nrourxis dud ski;hlre
is used lo produce shco . describe the use and portion
of the property utlmed Prod" =oma.
a,/ &0,6
— cco.
(2)
—
o-PERTy owKt6sycLAtuAwT.bio
OTHER COUWhES
Gwnfy
Township
county
Township..
I hereby certify the above statements are true, correct and cornpLete.
clas
-VALUE
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-N.W— (number and sheet I yKl 61
9 5 kMrl C �� —T--kt 4 (a
zTRUE TAX ,,1r.-'j,
ASSESSED
HOMESTEAD,:b
-NON4 MSMEmnAL'
Lesser of 12 Homestead
–'ASSESSOR USE ONLY
-VALUE
?ATADOWGIF7
'I
tN
Valuation or $35,000
Signature of AAtw
Date signed
Land not exceecling I (one) acne iarnediately
X
urrminding residential impruvernents.
Other land
(2)
Tdaf land (1kne I plus Eno 2)
(3)
Dwelling
(4)
Rewdenbalffriprovet.,entsorAnnually
Garage
a
Assessed Mobile Manufactured Horne
(5)
Ow, 65–
Other improvernents
(6)
Tdal upruvernluft (Ere 4 WouO fine 15)
Till value (line 3 plus Erle 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Ass�
Date sighed
conrplete-
%"ng action - Sgrialure of Au*kw
Date signed
20 Pay 20
Lesser of 12 Homestead
Valuation or $35,000
Signature of AAtw
Date signed