HomeMy WebLinkAboutHomestead_PriceCLAIM FOR HOMESTEAD PROPERTY TA� ���� YEAR
n. t CREDIT/STANDARD DEDUCTION j� HCRO �.
` � SYate Fortn 5673 (RB ! 7-07)
,. � Rascnbed by Iha Depanmerrt o( Lxal Gwemment Finence
DEC 1 7 2008
INS7RUCTIONS: See rererse side tor filing insLuc6ons.
��e� �'1/� ����/� /`f� (('j/� Q` �, A Q GBSON COUNTY AUDITOR
J t L� l J I �1u �.�.� .(/l certi{y Uiat on ihe 1 st day of March, 20_
I(We) occupied as our prinapal place of residence the following described real property fw whicli a Homestead Property T�c Credit is hereby daimed:
tI(VJe) owned ❑ Are buying under contract
J Have a benefidal interest in the entity ihat is liable tw the propeAy taues on the property and that owns the property or is buying under a contract.
tt buying om m�Vact, Fee Simple ownefa rrema
Recwdets office where con4aq is recorUed
7wmship
Tanng district (cify, fawn.
Recwdnumber �Page
lJ"rn 1� Vl`f�O���O•I�a�V1J��0 Ilsthe ro
D PertY in queSUOn:
Q�e I property ❑ Mobile Fbma (IC G1.1-�
If any palion of Ihe residential sWClure w the Wnd not exceedirg one (1) acra ihat imm�ately surtounds Ihat re is used to pmduce 4wome, descnbe Ure usa and porlion
af Ihe property uliGzeC In pmduce inooma.
�. � � • .� � �
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Land not exceedirg 7(orre) a�re immediatey lhx 7" `'�"'�:r�� �'�-""3�_ -' �� s
surtoundiry residential improvemenis. 1 �" r°�'^ �� ��"j .
( ) � t`2. "'kyx ` ?.�z:= 't`":°:
Otl12f 12f1d �2� �v„�✓�k:•'��' �S �"' i�?�-
. !_
Tdal land (I'me 1 plus Gne � �g�
:y t y�ps .;,. .. .'
Residential improvements w Mnualy ��� (4) °' r 'M1`�� '`�� `;��''� : „T�;.;:
f�ssessfld Mobile / ManvfacW2d Home `i £��-:-�`' r.. -
Garage �5� �^.�: r r
.4.�1 . �n.-
. �� :3`*' Y:<�
�1: �yyi'�
Other improvements � (6) ;..�'': -„'`��:.-
. •; '• z'
TUaI improvements (line 4 through Gne 6) (��
TUaI value (line 3 pl�a Grre � (g�
I hereby certify Me abOVe i5 hue. Correci, and SigrwwreofASSessor Date signed (mmN. tlay,Yea�
comptete.
Veri(ying adion - SigreWre MPUdibr Date sipnad (monlh. OaY.Y��
20 pay 20 _ qs ppp for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 1 R qq.000 (or 2008 pay 2009 41.000 for 2011 pay 2012
Homestead Valuation S
« 43,000 for 2009 pay 2010 40,000 payable after 2012