Homestead_Lefler CLAIM FOR HOMESTEAD PROPERTY TAX
FORM YEAR
STANDARD/SUPPLEMENTAL DEDUCTION r��^ r�
HC10 OO11t�,J�o� '
;Vie. 1 * 11• __Z• Le P_C •
re-. e^ce c-a^ re:t...-y o - t` 1 - - t a .. ...^c ,-- __--. __ - _ _
tsped
date appl.'.cat,cr s s gned =Q4.
G.t^ ❑<: a-_ z-,
are culled to occupy as a tenant-stccr^c de'of a C_c;e•a;.9^c_s•>»-::'3t-- r1 -1
❑Ha.e a^_erefc,a,.rterest in the trust cr tie g to occupy L e e--._-cat a a a _e_.0 Am;are,the shareholder,partner.or member of t^e ent y that ate rs tre property //
3uyng on Contact Fee S tnpte Owner's Name
Rec.-order's Otto*Are'e Contract•s Recorded _ -.- -- I°as-_
PROPERTY DESCRIPTION
Court' Tcv.-. .. ' -•. .. -.
•
' •�bson f _'s Qc- •
�a-Ce: ."e-"p
^2d�'�pe^r ❑---_a,y ass sled Vco'ae!-or:e C=
I'any soc.cr Cf the tea__ 3 s'.'_ -'^3 . a .''.' e._ee --c,e 1 3_re'— •-_-'' - ..%s!-at st'_r':.re s_sed'c -•._ce"core^.escnbe the use and pod C'r
Of the proceni.d'zed'c c_---e --- r
'D400 vcp - OD - OD (
PROPERTY OWNED ELSEWHERE BY CLAIMANT
State County,and Township s Sta,mart Vacalrrrg a' stead'
❑res
I hereby certify the above statements are true Correct and Carnp,et_ �/ l40A_
ASSESSOR USE ONLY I ASSESSED VALUE I HOMESTEAD VALUE NON-RESIDENTIAL VALUE
Land Not Exceeding One(1)Acre Immediately ,CI)
Surrounding Residential Improvement i
Other Land
Total Land(line 1 plus line 2) 13, FILED
Residential Improvements or Dwelling . 4;
Annually Assessed Mobile I
Manufactured Home Garage 5; MAY M A V 03
3Y
202A
Other Improvements (6. � ly�rr�\�
Total Improvements(Line 4 through Line 6) ��� 1 , `
Total Value(Line 3 plus Line 7) '8 GIBSON COUNTY AUDITOR
- ----- S=^at.:-e c -_.essa- - ------ - are S g _c . -
I hereby certify the above is true,correct.and complete.
er.by r3,:ctio^-Sg-a..,.e of ct.c tc;---- - __. - _ - - -----a•e S.gred dare -rcrt- ,e,._.
STANDARD DEDUCTION ALLOWANCE
22_ Pay 20 Lesser of(S2 r ci tie estea.:
',.cf.cfnatantaing any steer or 's rr 'he s..m .s ____ _ _ --
s not assessed as real proper/or to a Ta^ufactweo}c'^e^a• s^ct assessed as-ea
e.ceea;re-ha;f !,2 of the assessed vase:f r-.e mcc.'e rc e C marrraCturadd^c 'C
S;cra•_•e ci A:d,tor
OISTRIBUTI N :'-a ... _ - ___. --3•cayer
image 1 of 2