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HomeMy WebLinkAboutHomestead_MoellerCLAIM FOR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION SIffie Fonn 5473 (R7 � s-o� Aasbad by Ihe Dep�trrrmt ol Loml Goramad FnmM.e rNSrnucnor�s: s� �� s;da rw r��,y;��,�. �: �- ,. , :.:�._ » ... �:.. . ... . . .. . :.. : ,. ..�.......,.... FORM � HC10 � � �(We) � �� certiN Mat on fhe 1 st y ot March, 20_ � M�) �P� �� P��P� P�ce ot ' foAowirg descnbed rrrl p�operty fw whidi a Hanestead he�eby daimed: �� �� � � � �� �� �� GIBSON COUN7Y AUDI70R Have a benefiaal viterest m the entiry tliat is liade fot ihe poperty t�ces m the property and tlmt owns U�e property w is 6uying under a contracl M 6uy'rg m m�b'a.t Fee Sinqle wniefa reme (�srdels o16ce nerma Toxnslip Lepal desoipban 19 r.��r,�au 1.7:.x�zsa•�� Rewd number � Pepe r�wr � �un: � . Tmmg di9rid (dy,�wrp [owndrp) ' (LL1' � a�wanr u Moab rw� ci.c 6�.,-n �,�m n,� m�.e � ��a ro c�oa�:�. a�a� ma ��,a �no� � • � .. • ' � :t ' � . .. �„�`'��`t��� M 7RUETA7C ` � ASSESSm VALUE ' HOI�.S7EAD" v'G NON�ESIDB171AL"%yt�;�� .. � .'!+ �ASSESSORUSEONLYi'.`'�" jc�i;i��- VALUE�: 'AT,100XOF7TV �i `VALUE ��,.i��d r�`'tiVALUEy i"'T�'as;� r'?.sti.."i 4k . r J. �l.,tn 4 ..:i.?' x,.:� . .;a i, i vS.. .uF..+%2.nA._,::.. .Mw�t2 .�.,.w<< LerdnOt@ueedingl(OnB)aveimna�2tely ��.��y��i��,Ygc'gj� rrz ,�i.i 1r.b Slrtramd'vg 25iden5al irt�provCrtlCfltS. ��) .i���%3i �Vis"uri'h';r m��i` �b"���i Z it�f� ON�er lard ( 1 r'�i �� � t� a Tdel land (fcie 1 phislvre � i3) ; i�c''�r'"��''�t' }�i-`� �r'�� ��t «r � � Ae�£�: Residential"vnprwer;ientsorMrwally ��� �4� ',ss+2't,,,���'��f.4,'��''.%.::�Y»�Y�§� 0.sSes;ed MoWe / AfmMeWseA liorne : Ar `���{� P{, `� `��3A '�'M��-`�'�`'"3� �� ��e (5) l:J.."^p��fim� {"'J S �ia�r:.iC�� ..:�f.��;�'�:a�� OM�Ef rt11pfOVCrt�¢nI5 (6) :..+�'�,.� _.` Tdal'vnprovemerrts (iare 4 t/vou� 6ne 6) m TUeI value (!'are 3 pds 6ne � �g) I hereby certiy ihe aboye is true. m�ect, ard Sig�re ofn�smr Dam eipned �� `�M^9 e� - S9rmGre of P� Qaee sipnee 20 _ Pay 20 _ I Lesser of 12 Homeslead Vduation w 535.000 S