Homestead_Austin;� rt�n' � CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
\ •: > State Fortn Sa73 (RS / 10-01)
Prescribed by Ihe Department of Local Govemment Finance
INSTRUCTIONS: See reverse side (or /iling instructions.
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I(VJe) occu i d as our principal place of residence lhe following descnbed real property for which a h
!�I (We) ned ❑ Ne buying under wnir3zl
�iave a benefidal interest in the eniity that is�liable for the property taxes on the property and that
If buy'uig om m�Uaa, Fee Simple ownefs name
Recordefs olfice where contract is recorde0
porlion c
P�oPertY
Tavnship
Ta�ing�ist�t (cify, fown,
�� /� �e i sc l0 1//�� I Is the pro
V J�
itlential sWClure w the land not exceeding one (7) acre Ihat immediatety surtounds that
to waduce inwme.
�����oiiii�
FORM YEAR
HC10
t�c, �.: .
ch, 20_
::c'v ,.
�a�co�itt�Cl.
�
GBS01 Guu� � , ,�
Retord num0er Page
Real pmOertY ❑ Mobile Homo (I.C. 67.7-7)
ire is used to produce income, desui6e Ne use antl portion
��r�"�-.."k�''~'�ASSESSOR SEONLY�-"�� �ei}��_35TRUETAX ASSESSEDVALUE HOMESTEAD � .�NON-RESIDENTIIIL`-K' .-
�r�i.`.-�-�i.��'H:.izr.Z-fM1�%i-3<':�.a�._. �'i.s'�5s:a..�_.� VALUE.; sg ..AT.100%aOF�TTV, N�.s.-V/LLUEr..-.x...�..�... t.��"VALUE":.;..TF"'�-aEs.'.
Land not exceeding 1 (one) acre immediately �`� y'� - tY ` �"' .�'� �; '� � ` '-
surroundingresidentialimprovements (�) _ z „��,;��,�� �y � ' � �..
. �• j .�- •
<
Other land (2) ..� w.,ti �a, � �e'-'
- r.-
TUaI land (line 1 plus line 2) (g�
Dwelling �q) �. � �,• ,. rsa.L �`.,ifE � ���>
r+� fi�°
ResidentialimprovemenLS i#r �� '�,`�� ��;t�j, _
Garage �5) - �,:� s ��q. r �„�; �:.
-F. �
Other improvements (6) � ` - �
'�3-:-
Tdal improvements Qine 4 through line 6) (7)
Tctal value (line 3 plis line n �g�
I hereby certify ihe above is We, correct, and Signawre of Asseswr Date signed
complete. J
Verifying aclbn = Signature ofNitlitor Date signed
( 1 e� tcn,,z'�v ' ��t. .y.� x i - ' : .`•- � Z-i �.��;�.,,� '-- i.._c'.._. - .
£ua..,,.F;� _ ..c�...:.rr73 � -,-u�i" o�:==='�STANDARD'DEUUCTION'ALLOWANCE iu.Y„{�,+.���s.� � y �,-a .�
20 _ Pay 20 _
Lesserof 1/2 Homestead
ValuaGon or 56,000 S
Sgnature oflwditor Date signe0