HomeMy WebLinkAboutHomestead_PainterCLAIM FOR HOMESTEAD PROPERTY TAX
- " CREDIT/STANDARD DEDUCTION
t•» J Slate Fortn Sd73 (RS / 10-01)
Presrribed by Ihe Departmenl of Local Gavemment Finance
INSTRUCTIONS: See 2verse side lor filing ins(ructions.
FORM YEAR
HC70
$ .11.._J .� � �
i
I(We) certify ih on the 1st da�ot�M7a(ich, 20 n
I(We) occupied as o rincipal place oi resid the following descnbed real property for which a Homestead Pr �o�/.tty Tat_ �.Is��t�26y-clalmeJ�
� I(We) owned ❑ Are buying under contrad �� GIBSON C�OUi:TV qUD1TOR
, Have a benefidal interes� in Ne 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 conirad, Fee Simple ownefs name
contraa is remrded
�d —v �� w � - vv
porlion o/ the residen�lal 6UUqure w
P�P�Y WI'¢ed to produce income.
Tavnship
I Record numDer I Page
1 N�`;:`�'�J�?s��"��'`.����"r;,=':�`. ''`t'-'��
' (dry, t fn. fownxhiP)
Is Ne o o ertv irt auation_
� I.J J� oC7-r� -/.Z I V I�,1 Roal D�ope�ty lJ Mobile Homo (/.G. 61.1-7) .
na ezceetlinp one (1 � acre ihet immediatey surrounds that slruGUre is u W proEuce inmme, Aesaibe Ne use antl ponion
/,S S!� a-c ,
' �9_ � - c�/. �G � a�/
�� � 'E s srr'`° uT'�. �si..N'�"�'S.'�3.�"s�� x k� . � � . . . �� . � �
���, -�%° �°� � TRUEvTAX ..ASSESSED�VALUE �HOtdESTEAD� `= NON�tESI�ENTIAL�
� A ���.,m�ey S�aN`y- '�f � wVALUE� �? �ATm100Ya'OFTTV � &a ��VAI.UE�'� � �,;���,VALUE�.' �
Y ���?�� � �� � ���� , ra���3)L�it �i
Land not exceeding 1 (one) acre immediatey ��^ti' ;+'�+='-�`+�' � ' �- : ��?�
suvounding residential improvements. (�) '-°'i�b..;ah,��,�� �'„��=��°-"�
�.�r 55T �j� .
Other land (z) i°����
�.�L.
Total land (line 1 plus line 2) �3)
� �*f'a��2'`'�=��YS` �� �a
Residentlal imprwements �elling (4) �',�L.-�.y�� =. � ¢`���
K" �5�:�- �. .. 3{ '
Garage (5) s '�.:' 4��i�•i'�z��
�r�'in ,�r_..a+'c�"`_ xs.__ -
9L1i�'�s•�a �;.
Other improvements (6) `":��„+„�a�����
r: 3��:`.Y l. �
TUaI improvements (line 4 fhrough Ifne 6) (7�
Tdal value (line 3 phs line � (g)
I hereby Ceftl(y Uie above is We, Corred, and SignaNre o(Assessar Date signed
complete.
Vei(ying action - Signature of Niditor Date signed
�-���.t��y,�.��,°��'+°���'�.-`�aSTANDARU'.OEDUCTION'ALCOWAIiCE����'" ����'"` 4_ �-�'
� -�, x -�r���..�=�?..�-.-.>_>a
, 20 _ Pay 20 _
Lesser of 12 Homestead $ .
Valuation or E6,000
SynaNre of Audhv � Date signed
-e.l�, ..._