Homestead_Overton.� ;\ CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
� y Sta�e Furm s:73 (R6 / 4-03) ' '
Prcscribed by 1he Departmem ol Local Govemmenl Financ�- -'
INSTRUCTIONS: See revcrsc side !nr /ilinq insbuclinns
1 FORM YEAR
0
t
-. � ...;�' t -� •
1(We) certify lhat o�]�id�Q�rch. 20_
I(We) occupied as our principal lace of residence lhe following descnbed real property for whiGh a Homestead Prope y Tae uedil� AU��t�aimed:
� I(We) owned ❑ Fve buying under contracl "
GIBSON COUNT .
' Have a benefidal interesl in ihe entity thal is liable tor the property taxes on the property and that owns the property or is buying under a contracl.
-'�i�.='.� rr��'1+'"': c ^,:'`.'.i''.�m- �:.; � °': s . ..;":'�'.CONTRACT'RECORDED.: i`_' �. ' _ . -
If buy'u�g on contract, Fee Simplo ownets name �
Remrders ofica where wnUacl is recordeC , Record number Page
Counry I Toxnship
Parcel number l description
�bs -� �-t_3.30 - co`��
If any portion of Ihe resitleniial siniclure or Ne land no� exceetli
a( Ilie property utilized to produce income. ' (
County
Is ihe vro
S "3_L_
!(7 � aue thai immetliatey surtountls ihat
4 3�..
_o��
I hereby certify the above statements are We, correct and complete. I Sgnature o1
�idress (number arM shzel, dry, sfate, ZlPcode) � ,
•, �'-az. _ : t., -
�ynship)
in question:
{`Real propeM ❑ MobAe Homo (I.C. 61.1-n
re is used lo D��uce income, describa Ihe use and portion
To.vnship
�
�'';'"�°'r'� a �'4 ��' 31��k�+w �'s� TRUETAX �. ASSESSED VALUE '�' HOMESTEAD'' a t�^ NON;RESIDENTIAL'' ���
��.�te ASSESSOR�US�E ONLY -..; '����._; E Y,� VALUEs.t .� � 'AT �00%�.OF TTV,. �c'�u�VALUE � �-��r 3 T� VALUE � � `
� rJ'+ ..�`�F ts. .r��,.�• ."r�`.?:
sunound ng resadential�mprovem � Sediately (� � �� j r,t� ����-�.';s ��h, .;
Other Iand 2 �`�' �r p ��i `
( ) ia�:r�,�.'.�'$"�:'��._�
Tdai land (Gne 7 plus line 2) (g�
Dwelling (4) i .i}��i`"�is.'4'°.'� � `�`�:5��� ^s"'-'_-S
Residenlial improvemenLS or Mnually ��
Assessed Mobila / ManuFacWred Home Garage 5 ��.�%^�u,�`_ �� s�--"�- �,t �.�:
� l y r . .'-'�YLi.. �tX�'r..{�'�J �..
��`6x At's�._
Otherimprovements (6) `� �� +�,,,s�_
..x� �:::r.w��`
Tdal improvements (line 4 through line 6) (7)
T�al value (line 3 plus line n (g�
I hereby certity the above is We, conecl, and Signamre o�nssessor oate sgnea
complele.
Verifying action - Signature ollwditor �ate signeA
x� ,;�y�'-� �'!-.:...-.?>r.�.._n. ?� f t� :_ _'�STANOARD:DEOUCTION'ALLOWANCE .:'u'.:r=>k,��*a�::n..'?��'°'i ;:_"=F��'�`i `'.zE s�ft-`'...e..� ,;_:
20_Pay20_
lesserof 1/2 Homestead
S
vaivavon w 535.000 �
SgnaWm of Auditor ' Da�e signed