Homestead_RobertsCLAIM FOR HOMESTEAD PROPERTY TAX �
CREDR/STANDARD DEDUCTION
ti Smm Fortn 5673 (R7 � s0�
Prasrnbed by the Depertrtient of Loml GwemrtieM Frtance
INSTRUCTIONS: See ieverse side fa filing instructions.
I(We) V 1 LUl fX� _ �T(YIT�C� LW � certify ihat on fhe 1 st day of March, 20_
I(We) occupied as our prmdpel place oi resider�ce Uie foDOwirg desaibed real property for which a Home�'le� .� Tmc Gedit is hereby daimed:
(we) wared ❑ nre buying uraer oontraa GiBSON COUNTY AUDITOR
lave a benefidal inteRSt in Uie entity Nat is liade for the property haxes m ihe property and fhat v�ms ihe property w is buying under a contract
FORM
HC70
� � �
�
If Wy"eg on mhrac� Fee Sirt�le awnera �m+re
fiecadds ol�e where marea ia recaded
� s` ' rt s" ' n�' x . �� +�. 3 T�. @' `' r�i . -' _� ,' � � � •. . ,'. .� . � . � $v � , '�' � ' , ,P � � ?' � .' Y. . ? .
Camry Tw�nstup
town. tawnshiP)
Remd number � Pega
Percel rumber Le9al deacriPUOn � Is Ihe In q�n:
yD'�1 —�a�i � ZO�J—�O=� . �O, '� Z � I Reelpra�Brry Q Ma6ileFbrtre(LC.6/.f-7)
tf e�Y G�qn d Ue residaMial sfixhne u Ma lantl nol �cceedirg one (1) aaa that "vnrtiedately svrtounda U�af afnrJUra ia uaed b P��e c�mrtie. ticsoibe the use and Po�n
«,�e�Mw�,mw��. pfi�� ia- s-ia .b44