HomeMy WebLinkAboutHomestead_Stolz (2)CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HCtO
` ! State Form 5673 (R6 17.07)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
I (We) ' Wet certify that on the 1 st day of March, 20
I (We) pied as our principal place of residence the following d "bed real property for which a Homestead Prop�p�irJe�(greby daimed:
�(We) owned ❑ Are buying under contract GIBSON COUNTY AUDITOR
lave 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.
CONTRACT •-. r
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
PROPERTY DESCRIPTION.
ry Township Taring district (lay, lown, towns/dp)
Cncel pumber egal description I Is the properly in question:
❑ Real property ❑ Mobile Home (IC 6.1.1 -7)
Il arty portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
Ve la�upn J'1
�01
V
ASSESSOR USE ONLY
PROPERTY OWNED BY
• r
County Township
County, 1 -'� -� Township
I\ )
I hereby certify the above statements are true, correct and complete.
I 're of claims
Land not exceeding 1 (one) acre immediately
rum
street, ciA: state, and ZlPcode) � � ��
�01
V
ASSESSOR USE ONLY
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Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Other land
(2)
Trial land (line 1 plus line 2)
(3)
Residential improvements or Annually
Dwelling
(4)
-
Assessed Mobile I Manufactured Home
Garage
(5)
-
Other improvements
(6)
'.'s? _ -•'
Trial improvements (fine 4 through fine 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Auditor
Date signed (mrrrth, day, year)
—pay 20_
Lesser of 1/2
Homestead Valuation
or
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2012
Date ned