HomeMy WebLinkAboutHomestead_Hardiman�n
_ � CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
`� � State Fwm 5473 (R4 / &00) .
INSTRUCTIONS: See reverse side !or filirn,7 instructions.
FORM- `n Y R
HC10 � � /,�
O �
�
1(We) f J � - r � n.(/ certify' at on the lstday o�March, 2!'0,,,�n(
I(VJe) oxupied as our principal place of residence the foll described real property far which a Homestea ��i����eteby�p ) d
❑ I(We) owned ❑ Are buying under contrad
� GIBSON COU :?1' AUD;TOft
� Have a beneficial interest in the entity that is liable for the property laxes on the property and Nat owns the property or is buying under a contrad.
II buyirg on contract Fee Simple ownets name
Recordefs ofice where contraci is recorded _
Tamship
Record num6er � Page
Parcel num6er Legal d saip �on ` -
Oo�-oo3ya-oc, � o�� - 3 -(v . 7��C
II any portion ol Ne residential s Wcture w the land imt exceeding one (1) acre that immetliatey surtountls that structure is used to produce income, desuibe the use and portion
o( the property uu7rzed to pro0uce ifrcome. � • �
Counry
-i � �� - ��
�� �
a�..y.. J��� To.vnship
- QQD..� S��-Q��
I hereby certify the above stalements are We, corred and complete.
ciry, state. LPcode)
Counry
Tavnship
_ _. ' _ __ — __ �, -� y '�i �' L�
r'''.�°�`��'�-�;��,'�����k�y'a�'r�Y�`STANDARD:DEDUCTIONSALLOWANCE..;.��� n5'=��..,�'�^.s�"�,_. ��-�?.fi.,�a"�..�t.i��d,�''' ,�
� la ...a.e ,.-_..s�..�
20 _ Pay 20 _
Lesser of 72 Homestead
Valuation or E6,000 $
Si t e of ila �e ��
�-/� O /