Homestead_McKinneyCLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
State Fortn 5673 (R6 / 4-03)
Presaibed 6y Ne Departrnent W Local Govemment Finance
/
INS7RUCTIONS: See reverse side /or filing insfiuctions.
�5;�' ' `.?.��`:= ' `-h*'.;n�,� s-r�+.,-'i'".---�i�?,�;` .��'�'?s L:g.CERTIFICAiION TATEMENT.:. . ;
I ('/Je) �,�1�Q�G�-i-�-� � it1� . . .._ � .�z
I(We) occupied as our principal place of residence Ihe foll�;7 ng descnbed real property for which a
FORM �J YEAR _
HC10 �
� � �J �
on the tst day of March, 20
art�Tac:Ctedlt is hereby Gaimed:
��jl (VJe) owned ❑ Are buying under contract `"�GIBSON COUNTY AUDITOii
, Have a beneficial interest in ihe entity ihat is liable (or ihe properry taxes on the property and Ihat owns lhe property or is buying under a contract.
If byvg on conVact, Fee Simpie ownefs name
Rewidefs atfice where conVact
County
Parcel number
Twmship
IRecor� numEer I Page
i-�`'�`�:��I.^"'3i?.� �_�r.�-�+ ' �-'�'�=�.�{zw'.i�£%'�'
(ciry, (own, fownship)
the
m.�-uvvooc-c�� i�� irui L7-// I
If any portim ol ihe residentlal aWctura w the Innd no� exceeding one (1) aae that immediately sunounds Nat
of ihe propery uliiized W produce inwme.
�S- 9 �
`�-�c?G-��-os-icb-QCn.o2� -oa �
in question:
�eal Dropery ❑ Mobile Homo (/.C. bf.7-n
Xure is used b Oroduce income, descnhe tha use and portbr�
�{ il Y� �`` "`�s'x�� '� us��� s""TR E AX �� ASSESSED VAL'UE o- O�AESTEAD� .`s NO �RESIDENTIAL�
�p � ESSOR-USE ONLY i�" �s� �`��y�UE'�n- �' AT 100%'-OF TTV �r VALUE 'sVALUE�.-�y�
' .�v°:.. u s c�'�;; 3 -..id.f._.-.5 ��h��: ii-� _ �.. z. �s �,: 5.., ,�E .ca.�:..-, ..,s� . „e : .�':'.s..,,. S�
+'�+ .r J.::_ � e
Land not exceeding 1(one) acre immediately ��� ��������������
surrounding residentlal improvements. �.., ..� a::
Oiher tand (2) � ?"k:��.�
`����y�i:i.
.P�.S�: GVYJ�!�
Total land (line 1 plus line 2) (3�
}. � ��` �''}��
Dwelling (q) �i'�K .� � .f fy s
�Residential improvements or Mnuaily �� { �°X`�` ^ �
.�� � r�.�
Assessed Mobile / ManuFadured Home Garage (5� ,.��.#}i��.������fP,��
`'� aC� �� eu'
<.`a� ✓��* �6 f . AYrr.- it'4� td!
Oiher improvements ���# u'�x
�6� �,,�,�`� _«
i=h2. �.. ��
Tdal improvements (line 4 fhrough line 6) (�)
Tdal value (line 3 phs line n (g)
I hereby certify the above is We, corred, and Signamre o(nssessor oate sgned
complete.
Veri(ying acibn - Si9�uture oflwdilor Date signed
j;o-,�',•�^'�L`�i'}�,�Y��.:_�i?�'?���,��ti��y"�. _-i:STANDARD'.DEDUCTION�ALLOWANCE,_`�?'r�'".i � -�,., .�� �� r •�-
�� �.,
..., .,��uLk,.l.W"���a�;. �$, _.,��"�•`.R��.`�..�"'.::�
20_Pay20_
Lesser of 1i2 Homestead
vaivanon or 535,000
S
Signature of Auddw - Date signetl