HomeMy WebLinkAboutHomestead_Moore (7)44 rt�� i CLAIM FOR HOMESTEAD PROPERTY T ��O 2
`'-'" CREDIT/STANDARD DEDUCTION � rJ
\_- j j State Form Sa73 (RS I 70-01) (/
°i� Prescribed by the Departmeni oF Local Govemment Finance ��
INSTRUCTIONS: See reverse side !or /iling insnuclions.
�r_;=:r-�-<"_'�_�.,';a-'.:._r�-.>-.i _-, . � -- . . .r.FRncir.ennusre�uFUT. .
YEAR �
FORM {
HC10
lS i�
�
I(VJe) (� /� (( J(J �� certify hat on Ihe 15t da}/� ( Marc(���
I(We) o ied as our principai lace of residence lhe following described real property for which a Homesiea�.topartyT�2rCd�i1J5 herebydaimed
❑ I(VJ owned ❑ Are buying under wNracl
� GIBSON C!`Uy� ` """.
iHave a benefidal iNerest in the entiry that is liable for the property taxes on ihe property and that owns the property or is buying under a cantract.
If birying on contraa, Fee Simple owners name
Recorders office where contract is recorded
Counry
v {< <x��di
If any portion of Ne resitlential str
of Ihe property utitizetl W produce
Tavnship
Le9al d pt
the Wnd no exceeding one
'. v', ,.;.:, . _ '
Rewrd number
Page
ESCRIPTION ! 'r, - �.:,c�� �� x-c>. - ..
Taing Eislricl (ury, fown. township) ' �
(��s the property in queslion:
❑ Real propeRy ❑ Mobile Homo (I.C. 6f.1-7)
iate surrountls that sWCNre is uud to O��uce income, desuibe ihe use antl Donion
� 5�gc�
m .. n, 3 �
.�'t'�'"YS+��''"�"' z�"'�'�`� ��-,-i,, $���-3 TRUE-TAX r �ASSESSEDVALUE � HOMESTEAD��� p � NON-RESIDENTIAL"��+"��-�
� %?.���ASSE�SOR�US��ONLY . �_ � �, VALUE; _ � '� AT 100 /o OF,T7V �� r5�.. VALUE q�-ic �i � �, j +:zVALUE'�. .- r^'�Fy�``'��
Land not exceeding 1(one) acre immediately (�) �, �j� T � 2� r yt �`"
. _. ._ ... . ,
� '''�� ti_
surtounding residentlal improvements. - ;y,� t, -_--r;r�.;_:�
�x� r -i._ � ".
Other land (p) ,, z., ,5;$, ,;g�
:i.:
Tqal land (line 1 plus line 2) (3�
.'s'+ � �%'�C`.��-Y-✓!i'�''"rx -..
Dwelling (4) : s � ��#',r.��> ��� _'�
Residential improvements � �*
';{-�'S4A4�a�1,�y,4'�"�.�.`�v ,6 •-�r,
"� M�i
. }'�^ 'r_..v
Garage (5� ':�k?i`-��x=>_ta'.;n."�'s�'��iy;..z,:�.'
�--Y,,
-, r•�- ::��.�>.'
O�herimprovemenls (6) ..ti�7,==.r��',� '
TUaI improvements (Irne 4 through line 6) (7�
Tcial value (line 3 plus line � (g)
I hereby certi(y ihe above is We, corteIX, and Signamre otASSessor Date sgnetl
complete.
Veriying ac[bn - SignaW re of Auditor Date sgne0
20 _ Pay 20 _
lesser of 1I2 Homestead
Valuafion or 56,000
S
of Audilor ^ Dale gi9ned
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