HomeMy WebLinkAboutHomestead_Reed (3)CLAIM FOR HOMESTEAD PROPERTY TAX �W FORM YEAR
CREDIT /STANDARD DEDUCTION {(✓ Hc�o
Slate Form 5473 (R6 14-03) U
Prescribed by the Deparanerd of Local Government Finance w
INSTRUCTIONS: See rewsa s'do for 26p haftcoam
I (we) I sKXJ ->=�I— I /� certify that on be a 1st day ooffiMarch, 20
I (We) occupied as our principal place of residence the following described real property for which a Homestead PropertycTZ Crdt it TS hbreby claimed:
❑ I (We) owned ❑ Are 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.
F...fs ?CONTRACT- RECORDED>?' '' c�Y'�.���.rj� 'K` tY�(' �i. 1"/, •? ' =��s :"a:"y'[{_[
Y-' ^£��2�� - _.-av�t$L c�:::>&F?•5. i%.+1 :_54.ih '�l"1_tintr.F'N�- .L'4Y'1i
11 buying on contract. Fee Simplo owners name
Recorders office where contract is recorded Record number Page
^AySSESSDR�USE ONLY a
RTY;DESCRIPTION'k"`'a�_"g't�'
County
Toxnship
� �; ��,�c•A.�,p�y���.x_,t.A°'�sn.�
, town, township)
P mber
Le a e cd lio
operty in question:
"nos
Land not exceeding 1 (one) acre immediately
Real property ❑ Mobile Homo
It any portion of Ne residenllal aW gore or the land not exceeding one (1)
of the property utilized to produce income.
acre that immt dare is used to produce income, describe the use and portion
J /S -Lbf
OVA
1
()
^AySSESSDR�USE ONLY a
ASSESSED VALUE
HOMESTEAD'
���VALUE�
NON- tESIDENTIAL'
���
� �; ��,�c•A.�,p�y���.x_,t.A°'�sn.�
.c- �VAI:UE -*"`tom
' AT�100 %'OEjTTV�
Land not exceeding 1 (one) acre immediately
�, + nfnv.
u_�-,
surrounding residential improvements.
1
()
;;`a�-
x }'r:: ?- r.,-'N
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
-,'--2
Residential Improvements or Annually
Y1
Atttteased Mobile I Manufactured Hans
Garage
(5)
i�`
MIAMI
-'*.est.
Other improvements
(6)
Total improvements (line 4 through line 5)
(T)
Total value (fine 3 plus line 7)
(S)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20_Pay 20_
Lesser of 1r2 Homestead
Vteuatan or $35.000
7