Homestead_Overton (3):� ; CLAIM FOR HOMESTEAD PROPERTY iAX
CREDIT/STANDARD DEDUCTION
t ,.�/:' SI.ncF�rin�a731R6/4-03)
Prescribcw by 1�e Department a Local Govemm�m Finance �
INSTR'JC(IONS: See reverse side !nr liling mshurGaus. '
'Q FORM YEAR
`� 1 HC10
��
_ �
��e) � certiry that on the t t y of March, 20_
I(We) occupie as our principal place of residence lhe following described real property for which a Homestead Pmp��i �s hereDy Gaimed:
�(We) ow ❑ Are buying under contract GIBSON '�OUNTY AUDITOR
Have a beneficial interest in lhe entity that is liable for Jhe property taxes on the property and that ovms the property or is buying under a conVact.
.�#,i��c.s,.'c,o'?�`'z`..::"�},'�rt. xt'...r:� ' i.i.�.s�:��.' ._.3:":.CONTRACT',RECORDED'.�. '-• _, _ . .. ..
�� f
If Euying on coniract. Fee Simple owners name ' �
Remrders oifice where conVacl is recorded . Recortl number Page
County Tawnship Tacin district (city, t
��
Parcel number � Legal d�on Is �he pro�
6Q5_-c� _ _ —� P �-
It any ponbn ot Ne resWential s'uudure or the land not euceetling one (1) ave thal immedia�ely wrrounds that
o( the properry utilized m produca i�ame. �!l ��_ ��
l.J
��i 9- aa-i
_ _+�t••. - . .
al propefty ❑ Mabiie Homo (l.G b7.�-7)
is used b D��uce income, descnhe the use antl poRbn
?:. '' z�,- " "� t�', +r��'T.s�4�>. t�f�.°���_rFR'OP,ERTY.OWNED`'BY�CLAIMANT IN �OTHER'COUtJTIE53 �� ^^ � � x� '�'.:' � � - -� r _ �..;. ; � �
-� `�,� ..�`
Counry Tonnship County 7avnship
1 hereby certify-Ihe above statements are true, covect and wmplete. 5' nat ot aim
�idress (number and s/ree1, cily, sfate, ZlPcade)
�� a, � � � ln,
3 ti'�� a x� T r`�`'�'``�'��r _-ly�'��� TRUE TAX r�� ASSESSED VALUE '�>HOMESTEAD` ;��-r '�" NON-RESIDENTIAL�' ���
='�S:%a��y,,�,.�LASSES� W 8`;�'� �Yv�i n"� :e. �'a�'-}.VALUE r .�� ..AT 700%'OFTiV� �{�VALl1E� '+-. 4e.° � �� .: F'n �:-?`
�a+.� �a.��:}..�.VALUEt,..:_ ��r..-.:.
Land not exceeding 1(one) aue immediately .t��"`jJ $�'-E`� '"' 4 s '� >� ;.�
sunoundingresidentialimprovemen�s. (�) �.'C�fi. �r`. �,'��,_��. ;�'�F�_
� ��.z y'r _ .
Other land (Z) �`°�-y�;,�',�,°'����
�_ .;;�.� _..�
Tdal land (line 7 plus line 2) (g�
s
Dwelling (4) � R� .�Y��"�a�" i�z3j c�..'
ResidenGal improvements o� Mnualy + � s�Y��+r ��. ��,., �
Asseaed Mobile I ManuFacWred Home Garage (5) ��A�t°.'.�`,� �.s,� ;`�, ��!;
,z�.tT=s'.n,f;�.�.:. �-�.�,.Pr_.'.`;>{� _
� �� �t, _ _ _
Otherimprovements (6) �,�;� � �,
Tdal improvements (line 4 through line 6) (7�
T[lal value (Gne 3 plus line � (g�
I hereby tertify the above is W e, corted, and Signamre ot Assessor Dale signed
complete.
Verifyirg action - Sig�Nre of Fwditor Date signe0
":�-.�.��:�!:' . ��,..�.�:,.r.?'Y� ��5..:�r`�.:`�s..�.�.�i:STANDARD:DEDUCTION'ALLOWANCE ..}Y.:rPt�t...�i.:��...�i�'.°�3 �:;?-°,,f,?.C'_°'"F'�re�:+.��? �__r�,
20 _ Pay 20 _
Lesser of 1�2 Homestead
vaivauon w E35.000
S
5'gnaWrooflwAitor " DalesigncW