Homestead_WilliamsonCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
` S1ate Form 5473 (R8/ 7-07)
/
Rew�bed by Iha Departmerrt af Laal Govemmani Finance
lNS7RUCTIONS: See reverse side (a fiiing ins6vctions.
,� � ,
FORM YEAR
HC10
(o-�3n_nS�
i(we) � C.. / (/1�J certity that on � aay rd,. zo_
I�e) otcupietl as our prinapal place ot r' ence Mie tollowing described real property tor which a Homestead Propert�r�i� e�y daimed:
�I (We) owned ❑ Are buying under mntraU GIBSON COUNTY AUDITOR
Have a benefidal interest in ihe entity that is IiaWe for the property tazes on the property and that owns the property or is buying under a contrad.
�( Gpvi9 0� caniraq. Fee Simple wmefs reme
conUaa is recoNed
PaicN number
Tamship
Is �he
If airy portion o h r emial swcWre w the Wnd ry�tljig one (t) acre that unmetliatety wrrounds
of 1he property z In P��e inoome.
a� -�r-��- � ao -oo � a 3 7- a��
co��ry
Caunly
I hereby certify �he above slatements are [rue, correct and complete.
sfraeC ary; state, and LP cale)
fo•.vn.
Record number � Page
al property ❑ Mobile Home QC 61.1-7)
is used lo produce income, Eescribe ihe use and portbn
�' •
� � . � • �
ii'. •
Land not exceeding 7(one) ave irtunediatey �: =` r � �"-?
surrounding residential improvements. ��) .-�=:Y � 7 i .�� , _ _, _ �_. - �''
Qther W� r_:._. <.�.. __. � -
(2) y.
�Y�
Tdal land (line 1 plus line 2) �3�
,•i . -
ResidentialimprwementsorMnually P^'Qlling (4) -. �5 y � .-':;.,
Assessed Mobile / ManufacNred Home - - . -
Ga2ge (5� . .
Otherimprovements (g) �;r`,�`."r!" -_
:<�':
TUaI improvements (!'me 4�rough Gne 6) ���
Tctal value (line 3 pl,s lirre n �g�
I he2by Ce�tify 1110 ebOVB i5 WB, cwiect, end SignaWre of Pssessor Date signed (manN. Oay.Year)
complete.
Vaiyirq adion - Sipnawre oflwdita Date s'gned (monfh, day. yeah
�.-� � � • •
2q pay 20 _ qs.ppp �pr 2007 pay 2008 42.000 for 2010 pay 2071
Lesser oi 7f2 qq�000 for 2008 pay 2009 41,000 for 2071
Homestead Valuation p�Y Zo�2 $
a 43,000 tor 2009 pay 2010 40,000 payable after 2072
sre�aw.e or nueirn oa� srenea �mmw. dar. rea�