Mobile Home_Venson CLAIM FOR HOMESTEAD PROPERTY TAX FORM • YEAR
CREDIT/STANDARD DEDUCTION CtD
State Form 5473(R8/7-07) -•{ ;--
Prescribed by the Department of Local Government Fiance FILE .i
lh4ONS:See reverse side for filing instructions.
I(We) • ►'• Vlfi `seiC'ffl _ c` i, that on the 1st day of March, 20_ •
I(We)occupied as our principal place of residence the following described real property for whid�d eNa perty Tat Credit is hereby daimed:
(We)owned 0 Are buying under contract GIBSON COUNTY=AUDITOR
LW Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
a =_.(dt•- •"'.,.>1 � `., • : � . 'YONTRACTRECORDEp..,,.
If buying on contract,Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
.;r' .- PROPERTYDESORIPTiON-.:.'.,' - .: .1J ._ .=._ . . ..
County .�- PIP. •I / Taxing district(city,town,township)
,
Parcel number L-.- •- trip o 'j ,, - I Is the property in question:
ab-9RY osse 9-0o 4 4 l � I, ❑ Real property irk obil' a Home(IC 6-1.1-7)
If any portion of the residential structure or the .rid not exceeding one 1)acre that' r ediately surrounds -I structure is used to prod ••me,describe the use and portion
of the property utilized to produce income.
o
778/9716
.'ffr-n -, _ .-firt1 1.tP45, ,- ;.x;. ...[:PROPERTYOWNED.BY.CI:AIMANT INOTHERCOUNTIES`_.. . .. T �' , - _ rCt fit?`
County Township County Township
I hereby certify the above statements are true,correct and complete. •ignature of claimant
7 •"d11 , ti _ -.a
as fpujrap/sVeet. - .ate.ap• I•codeis ^ tzevx�� L AAI LJ 3 b
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t �tii s '-ASSESSOR USE ONLY• • •' o TRUE TAXI/ALUE. ASSESSED VALUE HOMESTEAD" N L.'
NORESIDENTIA S
r e �.._I AT-700/ OF.TTV s VALUE - •VALIE „ryj
Land not exceeding 1 (one)acre immediately
surrounding residential improvements. (1) - -.
Other land (2)
Tctal land(line"1 plus line 2) (3)
Dwelling (4) . }
Residential improvements or Annually - - -• -
Assessed Mobile/Manufactured Home
Garage (5)
Other improvements (6)
Tctal improvements(line 4 through line 6) (7)
Tctal value (line 3 plus line 7) (8)
I hereby certify the above is true,correct,and Signature of Assessor Date signed(month,day.year)
complete.
•
Verifying action-Signature of for I /� Date signed(month,day,year)
a 0�� 1 I)/ l� \� \x\fh 1 l 1's
�� .tr "".' n ' 7-'i " -� -j • 'STANDARD DEDUCTION"ALLOWANCEN , ;.:''-L v _-t _ 61-<
'20_pay 20_ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Leiser of 1/2 44.000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation $
Of43,000 for 2009 pay 2010 40,000 payable after 2012 - —
Signature of Auditor Date signed(month,day.year)
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