HomeMy WebLinkAboutHomestead_NeidigCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (RS 14-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
V YEAR _ED
r ...... .,,., �':so,.- '- CERTIFICATION STATEMENT - -•
:- %'lit -'V
I (We) certify that on the 1 st day of March, 20
1 (We) occupied as our principal place of residence the following describ real property for which a Homestead Property T" jt 0#34W claimed:
(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 wntracl.
rr�.''.i=as� -- :. �' >i�3.r;.,�- '..x��r�- �'t:�� —Y �, t' 5�' �a; :CONTR/1CTRECORDEDsCaa">:M1�a -t. 1i:, -� - 1$F�'�Sc's ��.°s- ...��s•�r z�'�tts.4- :' ?_.;,. ";:.
If buying on contact, Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
rW'ritir �.=< X�. St�re�`' �- 3PROPERTYUESCRIPTION -.?: -4 ...�..'—`�`- kzrc's£i'.�._._.
tSa^
County llX
Township
Taring '
net (city, awn, fo sI//
Parcel 1numbeerr'� .G,G /�_ /,c,y/ �/
D/:
V — QD / / / 'ri0
Leg d sc' lion
— t� ��
Is the props in question
( Real property ❑ Mobile Home( LC. 6-1.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that swcture is used to produce income, describe the use and portion
of thethe any r¢ed to produce income.
-da -0/ aoa -cam. 5 'Xix
Land not exceeding 1 (one) acre immediately'.
��t.?:' s: �' k' stE�' ��;.'. ��;-` �`€.; T�• i5 %k����.�P,ROP.ERTY.OWNED`:.BY
County Township
County Township
hereby certify the above statements are We, correct and complete.
Signature of claimant
dress (number and street, city, state, ZIP code)
rys 4-)��`y.K �++.`f?��4'"' +<T Tr}s"h•
t�' ASSESSOR USE
RUE TAX r 3
ASSESSED VALUE.
"'
&HOMESTEAD
F NO N-RES'fDENTWL ' e
-„(z++
-�� -5... _'mac-
NOR
eF..?
AT 100 /e OF;TTV"
::VALUE
o , VALUE
Land not exceeding 1 (one) acre immediately'.
�F.j.
surrounding residential improvements.
11)x''•��x'.,r
-0t
Other land
Trial land (line 1 plus line 2)
(3)
Dwelling
(4)
(Residential improvements or Annually
Assessed Motile /Manufactured Home
Garage
(5)
r Tom,
,�
3t�j.� <,,•
� } ;��' s!
�`
Other improvements
(6)
•^�i- aW --A DTs
NOT,
•Y� 1�J VL :° <
i
Trial improvements (line 4 through line 6)
(T)
Total value (line 3 plus line 7)
(6)
hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
_
Verifying action - Signature of Auditor
Date signed
TANDARDDEDUCTIONALLOWANCE � �>.'71 S`-�arrvs�L'�= -v . ogg '
2 Pay 200
Lesser of 112 Homestead
$
Valuation or 835.000
Sigma ra o1
Date signed
u