HomeMy WebLinkAboutHomestead_Armstrong (2): CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5r73 (R6l s-ai)
ReaalEed Ay the DeDerone�l d Laal Govert�rtbnt Fina�e
INS7RUCT10NS: See iereres dds Ibr1Sp eu0ucdy�a
FORM YEAR
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��e) W u7� �� certify that on the 1st day of March, 20
ili/a�., fs�r-.� —
I(We) occupied as our principal place o( residence the following described real prope ich a Homestead Property T�c vredit is hereby daimed:
❑ I(We) owned ❑ Are buying under contract GIBSON COUPJTY AUDITOR
' Have a beneficial inlerest in ihe entity that is liable for the property taxes on the property and Ihal owns the properry or is buying under a conVaG.
If byvig on conVad, Fee Simple ownefs name
is recwded
Counry
7o.mship
Legaltlescriplion
H any ponion of Ne resiAmtlal sW cWre w the Wnd not axceed n5
ot Ihe proparty ulif¢ed b produce iMOme. �
�
g9�
one (1) acre ihat imn
c�. �e D
Remrd number
ising aislrict (ciry, tawn.
Pa9e
ihe pro in estion:
� Droperry ❑ MoWeHOmo(I.C.61.7-n
ids lhat swGUre is used b protluca inmme. describa the uu and portbn
a6-a� # S �309- 70% /83-0�6
�������� i � � � I/l� I • I... �• �
��°a��� F ASSESSOR USE ONLY'��``" � '�` ;:�S�T_RUETAX� ASSESSED VALUE HOMESTEAD� ' NO�N-RES EI� NTIAL �
n����� �?�L.� .•ni3Y.1f3.S�� _ "��X������°� � a.�YALUE��� � �'"AT4100%.OF �'TTV� �y:y.��VALUE�y� §R��L�-i�....VALUE,�'���
Land not exceeding 1(one) aue immediatey ;�> '��.'�.� �� �7^n
suROUnding residential improvements. (� � '�;�''y`��-����� t� s,
Otherland (z� �f`.,-r�`�-���'T�� ss
�,.�r4<�.�k�:
TUaI land Qine 7 plus line 2) �3� �
Dwellin9 i4) ��`�aZ"'S"':� �-'�''�-��'%K"�"3s
�Residential fmprovemenLa or MnuaOy �'-'�^���`^��'�°���`�^�`'�
Asxased MobOe / ManuFac4ued Home Gara e ��� -' -r��-s�Y ''� �`'
9 �5� ���s�� '_ ��
;y �.#?� ..
Otherimprovemenls (6) � �*=r��.,����'��� '_
:�.<:'y .' s��.� ..v»
Tdal improvements (line 4 through line 6) (�)
Tdal value (line 3 pl�.s line � (g)
I hereby certify Ihe above is We, corred, and Signature ofAssessor Data signed
complete.
Verifying aclion - SignaWre oflwditor Date signed '
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