Homestead_Young.
CLAIM FOR HOAAESTEAD PROPERTY TAX
CREDIT/STAAIDARD DEDUCTION
State Fpm 5r73 (R6I4-03)
Resaibed by the Departrrront d Locel Govemrnent Finance
INSTRUCTiONS: See re�ersa Ndo b ISg iw6t�c8aqa
FORM � � YEAR
HC70
� -.. �
I(We) ' � ' that on the 1sl day o( March; 20
I(We) c upied as our principal place oi residen e following d cribed real prope r which a H stead Property Tac Gr dilt's7h re e�y`Ldaimed:
❑ I(We) owned ❑ Are buying under coniract �/
GIBSON COUNTY AUDITOR
` Have a benefidal interest in ihe entity that is liable for the property taxes on ihe property and thal owns the property or is buying under a conUact.
I( byv�g an convad. Fee Simple owners name
Recoidels ofim whera contraa is recwded
County � Tovnship
numb�c L descri ^n—
J- �
If any poAion of Me residenilal sWUUre a Me d nM exceeding one (1) aae Ihat
of Ne property utJ¢ed tn produce i�ome.
Record number � Page
Taing dislrict (ory, fown, townshiP)
ry in queslion:
❑ Real praperty ❑ MoWle Homo (I.C. 6f.f-n
nicwra (s used b ryoduce inmme, desaiba Ne use anA portion
I �l -/7-�7- ��a-oa3. 990��/ I
��{� ����"'�£'���' � � # ���'TRUETAX��'� ASSESSED VALUE HOMESTEAD�` `"��' .NON=RESIDENTIAL�p�,� °+x
`���,�,AS5ESSDR�USE ONLY ��,�j`� �.y'VAI:UE'�'t� "/iTa700Ye:OFTTV ��VALUE� �'s�'+ ev;` �= x`�`�' �
-*.....3T"t�. Rq�FF_LF��u. asa_ � . __..�..�.'3,#.: � .r.�#.__ � .c;'�L�..m,....,,.r_�� F�srr"'.�y�VALUEi'ar..,�= a�,�
Land not exceeding 1(one) aue immediately � r JK�^��«�' ;�'�"�'°'�ffi
i , �. �^ .n �-�
surrounding resMentlal improvements. (�) }'�'Y+": ' � *�� ' ,,,.
-. � r, r ��. '�4�'2:i--_�,...
Otherland �� '�'�°
�y� �i r t-�`i'.:.si
-o.r� e! �� iQ?
Tdal land (line 7 plus line 2) (g�
g �✓�'�4^'Y'� �4'e�?'��q'a�r"`�.r-it
Dwelling (4) #'�-�:.,w�"+.°� . .y� '� �,.$'-�,�'- " ��
Residential improvements or MnuaOy � .,�,P �_��
Aasesaed �bbBe / Manufac4ned Home Garage (5) `� a��+„.��-� �J�� <.�
Otherimprovemenls (6) �+��`LF �
�-+'3''`���'
Tdal improvemenfs (Irne 4 through line 6) ���
7da� va�ue (line 3 plis line n �g�
I hereby certify the above is We, corred, and Signamre oinssessor Date signed
complete.
Vrrityirg aUion - Signature of Auditor Date signetl
'=.�'s�"�%-�",�..t.�s�����fr�:'�i��'`ai�r�3', i#�'����-STANDARU:OEDUCTION�ALLOWANCE,`x:"��,��"`•�y't',t�''.'.�,ti'�ti`s.hrs-?*x�..t�_+i�.�f�.�.Eitf�-'Y,`"•�%;-��'�=�-1--�.
- 20_Pay20_
Lesser of 12 Homestead §
VaueUanarf35,000
SignaWre of Auditw " Date signetl
--_�_� ��'