Homestead_Anslinger (6)CLAIM FOR HOMESTEAD PROPERTY TAX FoRM YEAR
:+_�,^�= STANDARD/SUPPLEMENTALDEDUCTION
���jy� � Sa:eFOrm54]3(R15/&14) ' �
•�' ,?a%�'• Prescnpetl by Ne �epanmmt al Loral Gwemment Feunre
INSTRUCTIONS: See reverse sitle for filing in4rucfiorrs. �
NOiE: Telephone, Social Sewnry, drive/s Ncense, stafe i0en(dication aM lede2l i�enlificafron numbers are crn5denlial urMerlC G7.1-72-37.
I(VJe) / certiry ihat I(we) ocwpied as my (ourj pnndpal
place of residence or am (are) buying ihe follawing desai6ed reai pmperty und nVact for which a Homes�Pmpe ,ry Tax S ndard
Deduction is hereby daimed on the date this application is signed, (da;e o nata
❑ own. ❑ nm (are) buying under recorded wnvact. GIBSON COUNTY AUDITO
❑ Am (are) enfitled to occupy as a tenant-stockholder of a cooperaWe housing corporation.
❑ Have a benefcial interest in Ne Wst or the right to occupy Ne property under the tertns of a qual�ed personal reside(xe Wst.
❑ Am (are) the shareholder, partner, or member of the entity that owns the property.
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3ecoreefs o�ce Kfiere mn'.raG is remNea
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I hereby certify the above statements are We, cortect, aM comple;e.
ary. saro.
v�e
ONer IanA
Total IanE (line 1 plus line T)
Residential improvem¢nb or Dwelling
Annualry Assessed Mobila I
ManufacNrad Home Gange
Otherimprovements
Tofal improvements (line d fhrough lina 6j
Todl value (line 3 p/�s line 7)
1 hereby rertify ihe abave is irue, correc4
and complete.
! }irgaCion-Sg�lreofPUOi�or
(6)
(7)
(8)
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wovem � a�e��M1
IrHeal prope .ry ❑ A �vh assesseE no0ie l�ane (/C 61. f-T�
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Ildl SUIICNR 61152E IO WOCJR Y1COfR. CESQICG CE YS! iM �`I'iMll
Lesser of 60% of Ne assessed vdlue of tlie homesteaC or Sa5,000
NonNfhsfarWing any otherpmvisioq the wm of 1he tletlucGOns {uoviCeC in IC 6/.142 ro a rtw0ile home
Nat a n assessetl as 2a1 properry w ro e manulaCUred fwrtre Net is rrof assessetl as real property may
rrot exc nrhaM (12) af Ne assessetl vaNe ol (he moWe home w manulaCUred home.
� fu^
SitLBUPON: Qgiul- LauRy Autl::a. Fdo-Stanped Gap� - Taxpaytt
5
tlahnant vam:�ng a twmes•.eatl?
, ['j„Yes �j No
Ya�l
yee�
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M�Y