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Homestead_Nixon� �,��, CLAIM FOR HOMESTEAD PROPERTY:iAX - FoRM YEAR CREDIT/STANDARD DEDUCTION= - �- - ' ' - � HCia \ � Sl;nc Fnrm � 73 (R6 / 4-03; � � � PrescribeC by the Departmem of Local Go�remmeN Finan�� �� ' • . LVSTRUCilONS: SBe reverse sidc lor liliny n;tibucfinns. . . .•."� .. v��tv+k='�".i�._•-- � :•_: :' ..4:,.v�' -;:l.0 I!'il.NIlU1YJIA1CMCIVL ..'s . �. .' :._•F•.�. . . .... : y.: � . . ,.: �' .. ��e) .. - . -. ' th t on t�d of arch. 20_ I(We) occupied as our princi I pl reside lhe following desuibed real property for which a Ho es�ea Pr e ereby daimed: ❑ I(We) owned ❑ Ne buying unde ontracl - � � pp 9 ' Have a benefidal interest in lhe entity Nat is liable for the property taxes on the pmperty and Ihat owns the�p�'Oa�rt�o�sbOOSg under a contract. �f buying on contrau, Fee SimO�e owners name Remrdefs oifice whera contract is recorded ._:, ,.. ,.� .—�. ,�/ ,�.., �.::.".:; GIBSON COUN�Q�� Recard number Page .. ..�-::_r° '. . -.A�•..... . . . l:ounry Tavnship Taing disincl (ciI . fown. fo iP) Pa` ��s =o ya gs-et� Legal descdption Is the pmperty in e ion: ' , I property ❑ Mobile Fio p.G 6L7-7 If any ponion et Ne residential strucWre or Ne land not eaceeding one (1) ace Ihal immediatety wrtountls that swcture is used to protluca income. desvibe Ihe use antl portion at tne propery utilized to produce incor.ie. -i6-��-o3�-�a9s o�i �- �-�� v' c' �``r` �'" � --�`:t-��' � TRUESAX � � � ASSESSED VALUE t+HOlAESTEAD� • NON-RESIDENTI[al -� � �?�y� ��ASSESSORUSEONLY�i. ���{3-°'.3,�VALUE„ � � �AT100%.OF'TiV � "�VALUE,�r�� �'t� `it;'VALUE � � �` a} .v�..,.}�, + . ..�. ��3 .. � 4�. . 'ai3 ..Ui -.ti A.n.�i''..... . ,?, �+:.. ... aCs , ?. ..:'3�-'`' -�- Land not exceeding 7(one) acre immediatety r, �,i -' �"" ° t- : .� '� surtoundingresidentialimprovemenis. (�) '' _,?`,�??*��,,.,_,,.:_>..�..-i,L� `+�5. �;'r.:'.r,,i • Otherland y ;^"�`,r -,:,�;:Y�i ( ) ',:_ �,+;: �` �� �, TUaI land (line 1 plus line 2) (3) . . �tr . . 4 _.. � . Dwelling (4) s -'�'i' � 'i,r - , � � ResidenGal improvemenis a Mnualiy `'` S�" '�' 4'�b '"� `' AssessedMobilelManuhacWredHane Garage 5 :`i`�.-••+„yt„�,�«� �Y��:y�f�F' .- � � '4. kJ r..t+,�..FS, t '�-4� r _�{:..::-'? � y: �. � S..<':1'� �-'.'r.�. Otherimprovements (6) =;'.'� .��� ;1`"�. .. �r. �,s Ldr.ap;:�.;eS�: -' Tual improvements (line 4 through line 6) (�� TUaI value (line 3 plw line n (g� . 1 hereby certify Ihe above is We, correG, and Signature ofASSeswr Date signeU wmptete. Veriying action - Signature ofALditor Date si9ned 20 _ Pay 20 _ Lesser of 1/2 Homestead vaivauon or E35.000 S Date ygryd/^� � � V ��