HomeMy WebLinkAboutHomestead_Woods°`�' "" CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
�'• State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side for filing instructions.
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CERTIFICATION STATEMENT GIBSON COUNTY
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I (We) certify that on the 1 st day of March, 19_
I (We upied as our prin lace of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
1 (We) owned a buying under contract
❑ 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.
CONTRACT RECORDED `
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
County
Township
Taxing district (cy�?tpwn,�tc hid
UU
�a I number �O
Legal description -
If any 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.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
County
Township
County
Township
ereby certify the above statements are true, correct and complete.
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Addr (n ber and slree7, cjry, state, Zl
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ASSESSOR USE ONLY
1511E TAX
VALUE
ASSESSED
VALUE
HOMESTEAD
VALUE
NON - RESIDENTIAL
VALUE
land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Otherland
(2)
Total land (line I plus line 2)
(3)
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Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
complete.
Signature of Assesor
Date signed
Verifying action - Signature of Auditor
Date signed
• STANDARD DEDUCTION ALLOWANCE
19_ Pay 19
Lesser of 1/2 Homestead
Valuation or 52,000
$
Signature of Auditor
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Date signed