HomeMy WebLinkAboutHomestead_MarshallCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT/STANDARD DEDUCTION HC10
State Form 5473 (R7 I 5-05)
Prescribed by the Departinant at Lixal C3ovemrnerd Favnix,
INSTRUCTIONS: See reverse side for Filing instructions.
I (We) I-A-A-k -V /S— 'I- L-ViL J(/ KL�, U/"J&M
I (We) occupied as our pfindpal place of residence the following described real Property for which a Homestead
d1, 20
N 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
rift) 114, NTRA T5RECORDED
co C 02W,
11 Wyinf; on ointrad. Fee Simple a~s name
Reourder's office where contiact is recorded Record number Page
4
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County
County
Township
TwdN district (ally to
7zr!ht
number and
&MJ LL,TAI
Parcei'm?r6er
-103-0pal:�Sk)oa-
Legal description
I
Ls the property in questo :
PEeel property ❑ 4;kiH..(f.C.6-fJ.7)
If arty portion of the residential struch" or the land not exceeding one (1) acre that knmediately surrounds that struchire is used to limiluce hoorni, describe the use and portion
of the property utiUmd to produce irtooine.
4
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County
Township
County
Township
I hereby certify the above statements am true, correct and complete.
Si ature
number and
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/V
qW0
Og
20 _ Pay 20
R, 7
D
M '
NONAESIDENTLAJ15W 6,
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ITM13147
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Land not exceeding I (one) acre invT*dab-*
m'l
RON-
surrounding residential impnrvements-
Other land
(2)
zig R
I as
Total land (line I plus Fne 2)
(3)
Dwelling
R
Residential improvements or Annually
(4)
Garage
(5)
pr:
Assessed Mobile I Mantractured Home
R4
Other improvements
(6)
TctW improvements (Ane 4 through fine 6)
(7)
Total value (fine 3 plusfine 7)
(8)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
sTANDARDCDEDucTioN1ALLowANm
20 _ Pay 20
Lesser of 12 Homestead
Valuation or $35,000
S
ITM13147
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