HomeMy WebLinkAboutHomestead_Catt (2)"' CLAIM FOR HOMESTEAD PROPERTY TAX
�. -� 7 � CREDIT/STANDARD DEDUCTION
� State Fwm 5473 (RB ! 7-07)
•� �.�.� � Rescribed by Iha Department oi Loral Government Fir�ance
INSTRUCTIONS: See reverse side /or �Irng insWcSons.
I(VJe)�
I (We) oocupied 5 our
= I (VJe) owned
FORM � YEAR
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-�►,�;� �-
NOV 1 8 2008
��y n�� 9L y77 ; „ �Q � �/ /�_ .s-f— GIBSON COUNTY Awuvn
1�7�• ��-c.,o �-ci oC (��-Li certify thal on Ihe 7 st day of Mamh, 20_
place of residence the following described real property fw which a Homestead Property T�c Credit is hereby daimed:
❑ Are buying under contract
Have a benefitial interest in the entity that is liable for the propeRy taxes on the property and that owns the property or is buying under a contract.
If buying on conlrac� Fae Simple o.mets name
Racorder'a of6ce whare coMratl is recortlad
Counry Tamship
Parcel number
IRecord number I Page
. �
dislrict (cdy�Jown. fm+mship) J
Is Ihe property in question:
❑ Real property ❑ Mobile Home QC 6-7.7-�
If arry portion af lhe residenGal slrucW re or Ne land no( exceeding orre (i ) acre thal imrtrediately surtounds �hat slructure is used to pmduce income, descnbe Ihe use and pONion
af Ihe propeM �tifimtl In pioduce income.
aG -�9 -/�- 3 �a - 000. asS-� ��
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. . .. . .
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Land not exceeding 1(o�re) aae immediately �,� ��`�� i; �`%° ��'.
surroundingresidentialimprovements. (�� -, �'':'�; : �-`;:�,:;;x".'��'-
OtherlarW �Z� - �._
�, : ;>`
Tdal land (line 1 plusline 2) (g�
E ` -
Residential improvements w Mnualty �e��irg �4) ` ' :'".y � �' ` � �-- _
Assessed Mobile / ManvFactured Home -
Garage (5�
�
Other improvements (6) - � �
Taal imprwements (line 4 through Gne 6) �7)
TUaI value (line 3 pGs line n (g)
I hereby certify ihe above is W e, correct, and SignaWre of Assessw Date signed (monN. day. yea�
complete.
Veifyirp adion - SlgnaWre of Autlitor Date signed (manfh, day, yea�
� ' � • " � � � � • �
pay 20 _ 45,000 tor 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 1R qq,000 for 2008 pay 2009 47.000 for 2017 pay 2012
Homestead Valuation S
� 43,000 for 2009 pay 2010 40,000 payable after 2012
SignaWre otlwdibr Daie signed (mmfh, day, yea�