Homestead_MustardCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
t•» � Stata Form 5473 (RS / 10-01)
Presrn�bed by Ne Departmenl d Local Govemmant Finance
INSTRUCTIONS: See 2verse side lor filing insWdions.
FORM Y�'R
HC10
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I(We) �J,�,.,��a11 �s�� ��� ��Q_J. �L 1 o cr,rti(y that on the 1 �day of March, 20
1(We) occupied our prindpal place ot re den e following desrnbZd real property tor which a Home �' d Prop�y ac Cretlit is hereby daimed:
�(We) owned ❑ Are buying under contrad �" GIBSON COUtr'1 Y AUD�IT��
�Have a benefida! interest in fhe entity that is liable for the property taxes on ihe property and that owns the property or is buying under a contraG.
If buyirg on confrdq. Fee Simple owners name
Recoidefs office where corNad is recorded
County
Taxnship
Parcel number Legal
�5' - �-t-t -
rc a�,y pon+on o� me resieenual awca,re a me lane
of the property u41¢eA tn produce iixome.
co�ocy
distriU
e a�-�—i2 i�swa
exceedinp one (1) ace Net immeEiatey wrtounds that
� S y� .
�L��'/�: ii�
I hereby certify the above statemenis are W e, correct and complete.
ndCress (nyynber arid sheet,
counry
Racord number � Page
townshiA)
a� wowro ❑�.,ow. Ha„o P.a a-,.,-n .
is used W proeuce income. Cescribe the use and portbn
,�f.-� _ .._ _. ° r _. ! _ i +x ' ' �.,F+ ,�;:
` '���..�.�'�'���r �� ����:�;sr;wonRn;oeoucnoNn�wwiwce�`�, � �"���,,��.-��aa �,�.,,,.�: '.���
_ 20 _ Pay 20 _
Lesser of 7/2 Homestead
Valuation or $6,000 $
Synahue of Audilw " Date signed
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