HomeMy WebLinkAboutHomestead_Harder"'° CLAIM FOR HOMESTEAD PROPERTY TAX
<, - > t CREDIT/STANDARD DEDUCTION
S7ale Fortn 5473 (R8 ! 7-07)
•� �w � Prescnbed by Ihe DepaNrrerrt of Loral Governmenl Finarxe
lNSTRUCTIONS: See revarse side /or filing instrucfions.
FORM YEAR
HC10
1 iWe) ����� � 1..���1 �_¢/ �.( /!�/11A/ �ir � cerfify thal on they�t-,Qa�f ty(afFdi"�20_
1 e occu ietl as our /��� "''"�
(W ) p' prinapal place of residence the follovring described real property tor which a Homestead Property TaCCredi �iereopAaimed:
'� I(We) owned � Are buy�ng under contract GIBSON COUNTY AUDITOR
Have a benefidal interest in fhe enfity that is liable fw the property laxes on the property and that owns the property or is buying untler a contract.
If 6uying on convact Fee Simple owne/a name
Recorders of4ca where
Counry
Parcel number
TwnsNp
Legaltlescription
l�Y
Is ihe
of lhe residential sVUClure a ihe WM nIX exceeding one (i) acre that imm�ately wrrounds �hat
y uliGzed m producs inmme.
o?�- /�-��-/d�-ao� 99�?-���
Record number
Page
�QueS�an_ " V
Real prope ❑ Mobile Home (IC Sf. f-�
ira is usad to produce inwrtre, describa Ure ux and portbn
.- .
. . .. . .
„..
Land not exceedirg 1(orre) ave immediatey .� _ � .
surroundingresidentiaiimprovemenls. ��� � ' �_'- ' -
OiherlarM �2) �- � �
Tdal Wnd (line 1 plus line 2) (g)
Dwelling (4) . . - •. � � .•" i._:'��� :
Residential improvemen[s w Mnually � ' - '
Assessed Mobile I ManufacWred Home • - -� -
Garage �5� " .
Other improvements (5) - � -
Tctal imprwements (line 4 through line 6) �7�
TUaI value (line 3 pffs Grte n �g)
I hereby certify the above is true, correcl, and signawre of Assessor oace signea (month, day, year)
complete.
Verifying aclion - SignaWre of Audibr pate signed (mmN, day, yea�
�.-� � � • •
Y pay 20 _ qg ppp �r 2007 pay 2008 42.000 for 2010 pay 2071
Lesser of 7/2 qq.000 for 2008 pay 2009 47.000 for 2071 pay 2012
Homestead Valuation S
w 43,000 tor 2009 pay 2010 40,000 payable afler 2072
Signature oflwdltnr Dale signed (mon(h, day, yearj