HomeMy WebLinkAboutHomestead_Straighte rt.� � CLAIM FOR HOMESTEAD PROPERTY TAX
'''4-°�" � CREDIT/STANDARD DEDUCTION
` > Sute Form Sa73 (RS / 10-01)
4° Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side !or filing instructions.
FORM YEAR �
HC10 I
� � � � �
I(We) L��lt-(X19�("Y � °�' rfy that on the 1 ay of March 20
I(We) occupied as our principal place of residence the foli ng descnbed real property for which a Hom ead Pr ert �c dit is reb aimed
❑ I(We) owned ❑ Are buying under coniract GIBSON COUN7Y r,UD1T�
�Have a benefidal interest in ihe entity that is liab�e (or the property taxes on the property and Ihai owns the property or is buying urder a contract.
i.; <«.:^ �.-�si � �"' r. :
ti':_.t...¢.as. ri .° ���.�.�'u `- ':'::.i' .-CONTRACT�RECORDED'.:,.. � . .. y. - . .
If buying on conUact. Fee Simple owners name
RecorEefs office where contrad is recordetl Rewrd number Page
.. _"::tii',r •---5 .'.`. �
Tavnship
r`i //�ceb/�/!: V"' I..LJ I e9 ' ao� ��� �%�
If any portion ol the residentlal sWClure w the land not exceeding one (1) aUe Ihal immeEiately
af the properry utilized to produce income.
J:
(ciry,
township)
lhe plope.rt�-y�in�queslion:
� yfteal pmperty ❑ Mobilo Homo (LG G7.7-7)
��
ids lhat swaure is used to produce income, descnbe lhe use and porlion
'�r 'E�T°Y�� �'- ' ` .; ' ��--� : �` TRUE-TAX , � �ASSESSED VALUE HOMESTEAD � .� t � NON-RESIDENTIAL "�cr� �
.,'���,+t.=,..E- +,tASSES50R�USEONLY --�. e-a� �yqLUE�� _�:� AT100%OF;.TTV --��VALl1E �i. '.�,e`�' '``VALUE ,,;tf�'.��f��
x ,aa.. t.n. . -..it .. �' ._ 1�� n , _, .. v. .,..
Land not exceeding 1 (one) aue immediately ' ' �3- d�' ' * ';-.°�- � �
surrounding residential improvements. ��) '" � � `� _ ? ._i,$ ,.,
Otherland (Z) ' �i ��
Tdal land (line 7 plus line 2) (3�
.� ts:; $ � � � r, :, �i` ��:
Dwellin9 (Q) _ � �`�5� �� i ��"���.
ResidenGalimprovements T 'Y'L �'�" � �
c
Garage �5) �-'.,-�';" � � �°,,, 'r��`5.'k-ri'�.
.r.• ,,•.5x,:s� rc��;g.���.:,.{.;L._J
_ .YS. _- - ' _
Otherimprovements (6) � T--,���'��'
*Yj
Ttial improvements (line 4 through Irne 6) (7)
Tdal value (line 3 plts line n (g)
I hereby certify ihe above is We, wrtett, and Signamre ofASSeswr Date signed
complele.
Verifying actbn - Signature olAudimr Date signed
20 _ Pay 20 _
Lesserof 1/2 Homestead
Valuatlon or 56,000
E
� � �1
Da�e signed