Homestead_Barrett (11)CLAIM FOR HOMESTEAD PROPERTY TAX F RM YEAR
CREDIT /STANDARD DEDUCTION
Stale Forth 5473 (R817 -07)
'� ,•,• Prescribed by the Department of Local Government Finance
AUG 0 g 2008
INSTRUCTIONS: See reverse side for filing instructions.
GIBSON COUNTY AUDITOR
I (We) 7 certify that on the 1 st day of March, 20_
I (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
I (We) owned (J Are 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.
If buying on contract, Fee Simple owner's name
contract is recorded
County
Township
7wdng district (city, town. township)
Record number I Page
Parcel number L al description ' �Y! �'� 3 Is the prop�y in question:
ZLA;&-C lX. rA.� �Oi, �� - I 1 ❑ Real properl ❑ Mobile Home (IC 6 -1.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately wr o Inds that structure is used to produce income, describe the use and portion
of the property W 6zed to produce income.
J&- 1- 31-3oo- ooy. 30
zu — pay 20 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 1/2 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation $
or 43,000 for 2009 pay 2010 40.000 payable after 2012
Signature of Auditor Date signed (month, day, year)
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
-
Other land
(2)
-
Total land (line 1 plus Pure 2)
(3)
•,
Residential improvements or Annually
Dwelling
(4)
.' -�. -; ;-
-.:, -. <r�•.. : - - :'.'
Assessed Mobile/ Manufactured Home-
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 We, correct, and
Sig nature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Auditor
Date signed (month, day, year)
zu — pay 20 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 1/2 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation $
or 43,000 for 2009 pay 2010 40.000 payable after 2012
Signature of Auditor Date signed (month, day, year)