Homestead_Brewer��
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
` � � State Fam 5473 (R8 ! 7-07)
Rescribed by Ihe DepaNnent of Local Govemmen� Finance
INSTRUCTIONS: See revarse srde /or filing insWctions.
FORM YEAR
10
� M�e) �p�.(�`� e.�iliF� � 1Lt/T� � y�h4s.UU�� certity ihat� st��larch, 20_
I(We) oowpied as our prinapal place of residence Ihe fdbwing described real property fw which a Homestead Property T it i ereby daimed:
GIBSON COUNTY AUDITOR
•' (We) owned ❑ Are buy'vig under contract
Have a benefidal interest in fhe entiry that is IiaWe for the property taxes on the propeAy and that owns the property or is buying under a contraG.
�f byin8 0� mnira0. Fee Simple ownefs name
RacordKS oifice where contraq is recordaE
Counry Twmship
ParcN number
descnplim
��
(�Y.
� � I Is Ihe
IRecord number I Page
tamshiP)
J
in question:
� Real property ❑ Mobile Fbme (IC E7.7-n
It arry portion of Ihe residential swcWre w ihe land not exceedirg one (t ) acre Ihat immediately wrtounds Ihat siructura is used to produce income, descnbe Ihe uu and portbn
N Ihe proparty uUGzntl in produce inmme.
a�_,i o�_,ao -�oo. �o� -�a>
,. . . . .. . .
„.
Land not ex�rg 1 (orre) aae immediately .- - `i : ` . . ' . .
surroundirg residential improvements. �� � .;. �; . �: _ , � � �
QtherWrW (Z) '>;-_'._:',.�:.,. ;� �,
Tdal land (line 1 plus I'me 2) (g)
�Y
Dwe�hrg (4� .
Resdential improvemenLS w Mnualy �
Pssessed Modle I Manufactuted Home - --� - -' `. -� -
Ga2ge �g) . .yi. ,;_ :.. - .
." F _: � f.... .".
D�IE( IfI1pfOV2(fiEfl}5 �6� �' +1��
Tctal improvements Qine 4 through line 6) ��)
Taal value (line 3 plfs lirre n (8)
1 heteby ceftify ihe abOVe i5 We, COrtect, 0td SignatureofASSessor Date signed (mmfh, day. yea�
complete.
Vaifyirg aCion - Sipna Wre of Audita Date signed (manth. day. yeen
[� �..� � � • �
20 _ pay 20 _ qs ppp for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 12 qq,000 for 2008
Homestead ValuaGOn PeY 2009 47,000 for 2011 pay 2012 $
« 43,000 for 2009 pay 2010 40,000 payable aRer 2012
Signawra oF�tar Date signad (mmth. daY Y��