HomeMy WebLinkAboutHomestead_Hunter, CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
Staie Porm 5473 (R6 / 4-03)
Presuibed by ihe Department of Local Govemment Finance
INSTRUCTIONS: See reverse side /or lilinq insfn�c(fons.
� FORM YEAR
HC10
�
I(We)( r �a�u ��)At P�.���YsL i,�� ��S_�� 1/il J 0. certify ihat on the 1 st day of March, 20
I(We) occupied as our principal place of residence the tollowing descnbed real property for which a Nomestead��T� is hereby daimed:
❑ I(We) owned ❑ Are buying under wntract GIBSON COUNTY AUDITOR
� Have a benefidal interest in lhe entity that is liable (or ihe property laxes on the property and that owns the property or is buying under a conVaU.
If buy'uig on conUact, Fee Simple ownefs name
conVaU is recorded
Cou�ty Tavnship
Pa num _ O Leg
Poo
H any poNon oi the residenlial sW ctura w Ne la d not
of �he property ulil¢ed to produce inCOme.
Twvnship
Rewrd number � Page
Tacing distnd (city, town,
��, 3o a, I I Is the property in question: �
❑ Real property ❑ Mobile Homo (I.C. 61.1-7)
one (7) acre that immediatety surrounds that shucture is used to produce inoome, describe lhe use antl portion
�,�3 ��
,,
I hereby certify the above sfatements are W e, wvect and wmplete.
(number arM sfreet,
County
!i�` -2�yt :'F` 9^ 1..s��° '�.. .,i . . t,�,-�y ._ . _ . � . t_ ' �=Fa� , . � �j.N
'`'�� <. TRUETAX *, ASBESSEDVACUE �NOMESTEAD NON-RESIOENTIAL
�,�'��y-�=S3mS�50 ��-USE ONLY5.��s���`;w'�...�j i�,,, VALl1E,��'+� "`AT�100%OFTfY.� ��VAIU..E..p _�' �Z��1-t���VAI.UEY,s�'fy, 4��.
Land not exceeding 1(one) aae immediately ' ���'Sy 'ss '���
surrounding residentlal improvemenis. ( � ��'y ������.��..-"�-a� !lY�?.
A ti�
Other land .-`'�� �� ��
�2� ��"�-..�'�:.�
Tdal land (line 1 plus line 2) (3�
'{y-h`'a.e'"��'i't.'�',� �9t"7�'�:'v�"'�,•�
Dwelling (4) +�i, =?�� � �
Residentiel improvaments orMnualiy �����'`�'�"��'��
0.ssessed Modle / Manu(achued Haice Garage (5) .:`�,��`��,.�:�m� �. 3Y rf �����`+�
"s�'aw•� . •.,- 'a'.�a" c%t--�:
y-'Ka:r-sa. �=3'}
Oiher improvements (6) ���-Y r. l���� a
�°� t•, . ivl
Tdal improvements (line 4 through line 6) (7)
Tctal value (line 3 phs line n (g)
I hereby ceRify �he above is We, correG, and SignaWre otAssessor Date signed
complete.
Verifyi� ac�ion - Sig�ture oflwditor Dale sgned
20_Pay20_
Lesser W 1!2 Homestead
vawanon w 835.000
Sgna[ure oflwddor
$
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