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Homestead_Marvel (3)CLA!!�9 FOR HOAAESTEAD PROPERTY TAX
CREDIT7STANDARD DEDUCTION
s�m ro� ssr3 cR� i s-on�
P�evbad by tlie Deperfiient aA Lu-ai Gouertmad Finanm
INSTRUCTiONS: See reverse side 7a R'v,g instruc8i�ns.
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FORdI �
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I(VYe) �� certify p{ MaM�, 2p_
�I(�ye) pimdpal W residence tlie foEowirg desv�bed real property for which a Hmiestead Pro mc � s��b�, dairned:
� � �� � � �� �� ��a GIBSON C UNTY AUdITOa "
Have a benefidal mferest m the entiry Mat is liade tor fAe property ta�ces m the popaty en�"�,he property or is Wyv�g under a contracL
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n���.���a��
I�mrdels of6ce whae mNred'u recaded
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Cauriy, TaMraldP
Y�J
Legal deaoiptim
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M a�of Iha residetqial �uWrte a fhe Im�d nal mmeedrg one (1) eve tlal inmadalely amoa�
d Wiimd m pm�os ummrne.
� � /O _Q(O �/Cl(/ ' !/V • O./�lJC/ �C/�'7'
Caunry
Tovnship
I hereby ceAi(y Me above Sfa4ements are true. carrecf and cortyle0e
abeet
-i�.g,,% + �r�,ASSfS50RU�WILYA:;'.;�:':
Land rwt el¢eedirg t(one) aae irtmediately
sufvimdcg residenhal rtnprovernerits.
O@ler Wnd
Ttt� lard (I'vie 1 pku !'me Z)
Resdential'vnprovementsmMmially ���
Assessed AlobBe / A/anufachaed Flome
Garage
Otl�er unp�overt�en�
TUaI unprwemertls (6re 4 tivouyA 6ne 6)
Tdal value (l'are 3 pds 6ne n
I hereby certiy the ahove is W e, �, and
Vaihino e�m - Smmaae af Mi6tar
20 _ Pay 20 _
Lesser of 12 Hamestead
Valuation w 535.000
Si�Cae d Nrie�
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