HomeMy WebLinkAboutHomestead_SeibertCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Stete Farm 5/73 (R6 / 1-03)
Re�amed by tla DepartrneM d Loal Govxnmmrt Finanoe
INSTRUCTIONS: See iewea dW bRbg iq0u0'dna
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I(We) �� l �l(/(�fi�f� certiry that�t,�ae�ts��,�ef March, 20
I(We) occupied as our prindpal place oi residence the following described real property for which a Homestead Prop rty T�i Credit f�h e daimed:
❑ I(We) owned ❑!ve buying under contract GIBSON COUNTY A�1G��
, Have a benefidal interest in lhe entlry that is liable for the property taxes on the property and that owns lhe property or is buying under a wnUaG.
It buy'ug on conVaq. Fee Simpte ownefs name
Recordefs ofice whera canVaU is
Tamwv
Tating disvict (ciry, town.
Record numher � Page
Pa�¢IT}�r�pe� �O� �Legal description I Is the pro �NRqe�al�Dr�oper�y ❑ Mobiie Homo (/.C. 61. f-�
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N any poAion of the residential sWCWre ar the land nd ezceeding one (1) aae that immediatery wrrounds Nat swcWre is used b produce incane. tlescribe Ue use antl porUon
af the property utilized b produce i�ome.
Twvnship
I hereby certi(y the above sWtements are W e, corred and complete.
sbeef, ciry, sfate,
County
of
�./ /
20_Pay20_
Lesser of 1/2 Homestead
vauamn a 535.000
5
Date signed
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