Homestead_JohnsonCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
` State Fartn 5473 (R8 ! 707)
� �nea me o
by eparimerrt of Loral Govemment Firiance
INS7RUCTIONS: See rsverse side !a filing ins Wctions.
FORM YEAR
HC10
F'I�,EI�
��e� � ,,..�. .� .,.._
certify that on Ihe 1 st day of March, 20_
I(We) 'ed as our prinapal ptace of residence the fdbwin describ ai property for which a H stead Prope�{,y Tac �j�is hereby daimed:
� O'[a � iio:A
�(We) owned ❑ Are buying under contract U U
GIBSON COUNTY AUDITOR
Have a benefidal interest in the entity that is liable fa the property taxes on Ihe property and Ihat owns Uie property or is buying under a contract.
If buyc�g om m�Uaq, Fea Simpe ownefs mme
Recardefs office wMre conUap is recordad
Counry Twnship
Parcel number
If any por6on of Ihe residenlial siruclure or the
N Ihe pmperty uliGzed tn pmdute incrnne.
aescnption
nd
Recard number � Page
ITadng dislrict c4y, to:m. fownship)
��/` Is �he pr� Uon:
!JD : 3-io � � ❑ Real property ❑ Mobile Fbme (IC G7J-n
one (7) acra that immetliatey wrrounds lhat stnicwre is used to pmduce income, describe ihe use ard poribn
a�- �9-�� -3a�-000.�9�-�a,s
,_ , . . .. . ,
„..
Land not ex�ng i(orre) aae irtmediatety �: `. � .,� �
surtoundirgresidentialimprovements. �7) �`�'��''`�.� . - � .• .
Other Wnd (2� . � �
Tdal WrM (lrne 7 plus!'+ne 2) �g)
Dwelling (4) - _ �
Residential imprwements w Mnualty � � •
AssessedMObJelManufacWredHome „'r:.-,��r,:�r...`, .
Garage �5) . _ , .
Otherimprovemenls (g) - �-: `i.":�-:-�.�?�
T�al improvements (lina 4 through lirre 6) �7�
TUaI value (line 3 ples line � �g�
I hereby certiiy the above is We. corted, a�d Signature ofASSessor Dale signed (rtanfh. Eay, yea�
complete.
Vuiryinp action - SipnaWre of Autlitor Date signed (monN. daY• Y��
�.-� � � • •
20 pay 20 _ 45.ppp for 2007 pay 2008 42.000 for 2010 pay 2011
Lesser N 12 qq�000 for 2008
Homestead Valuation PeY Z009 47,000 for 2017 pay 2012 $
« 43,000 for 2009 pay 2010 40,000 payabie after 2012 - -- -
s�,anne ora,cw� oa�e s�nea (�r�. ear. r��