HomeMy WebLinkAboutHomestead_Young (3)CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDMSTANDARD DEDUCTION HCto
Sate Form 5473 (R7 / 54)M
P rsolbed by the DepaMient of Loral Goverment Ftna nce
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
I (We) ce" that on the 1�st day yooff March, 20
���1 (,,,W///e���) occupied as our principal place of.esd , the fcllavi escrSM mii prope -y for which a Horwslead Proper aw�ean +elfereby chinned:
(We) owned ❑ Are buying uMer contract GIBSON COUNTY AUDITOR
Have a beneficial interest in the entity that is liable for the property taxes on the property and that awns the property or is buying under a contracL
n - •:. ' .. '. _.:; - CCN "iTACLRECCRaE�:y'' ^:... .
If buying on contract Fee Simple owners name
fiamdefs dfice where contract is receded Record number Page
:PROPERTY DESQUPTION. ' • .. _ _
.
Canty
Township
Tang district (dy, town, tonwxshp)
707- D -
Legsi
i the property in pue on:
❑
eW,
I Real property le Hume (LC. 6-1.1 -7)
_ _
If any portion at ha residergial strucMe a Me land rel ameeg one (1) acre that i madaldy mounds that structure a used to p e etcorne, describe the use and portion
of the property utilized to Produce income.
� amp X 9 -cb vclo - ev
-o
... PROPEHTY:ssiVNm 8Y cLAOIANT @I'oniER COU►tr>£s t:. , • �" ; :.
-
County
TawnshiP
County
nship
I hereby certify the above statements are true, correct and complete-
root tat
( nurber and street dry. stale, ZIP code)
:.. >< '
';Y TRUE TAX
ASSESS14i VALUE
v FiOfiff_STEl1D
') NOdi�tES1OENTIAL'� 'r
, ASSESSOR USE ONLY "t m.
VALUE
AT 100%OF,T V
.
_ .:
a
Land not exceeding i (one) am immediately
} % ` - 3' '1 :•
surrounding residential improvements.
Other land
Tdal land pine 1 plus lute 2)
(3)
Residential improvements or Annually
Dwelling
(4)
Assessed Mobile I Maatfachaed Home
--
Garage
(5)
3
Other bnpmernent5
Tda1 vnprovemerds (fire 4 Ihrtvmh fine F)
Trial value (fore 3 pus fine 7)
hereby certify the above is We, corned, aM
fie,
Sombre or A>sr>ssor
(Data s:rnM
1/ailybng action Swoture of AudMr
irtan —Y -4
20 _ Pav 20
Lesser of 12 Hornes1wrl
Valuation or 535.000 i S