HomeMy WebLinkAboutHomestead_Robinson (3)�,� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
/ State Form 5473 (R6 / M3j
Presaibed by Ihe Depariment of Local Govemment Finance
INSTRUCTIONS: See revcrse side (or /iling insliuc6ons.
FORM YEAR
HC10
� � �
� M�e) ��� fYl �\ lL11`� � �
certi(y ihat��I���/on the 1 st day�o( Maich, 20 /1
I(We) occupied as our principa� place ot residence lhe following described real property for which a Homestead Property�,C[ed�is �eby-daii�i�
�'r(We) owned ❑ Me buying under contract /h GiBSON CJOUNT t� A���70R �
' Have a benefidal interest in ihe entiry ihat is liable for ihe property taxes on the property and Nal owns lhe property or is buying under a contraU.
If buying on conVaq, Fee Simple owneYS name
Remrders olfice where conVacl is remrdetl
County
Twnship
Tating disUicl (ciry, fdwn, fownShiP)
Record number � Page
Parcel number '/' c�/ L��JpI d{�escri1ptla`n Is the pmperty in question:
60� — tJCJ (J l� � 1" 1 w 5(,,�1 ��–�" �� ❑ Real proparty ❑ Mobile Homo (I.C. bt. f-7)
Hany portion of the resitlenllal sWCture or Me land not exteeding one (7) aae tha� immediatety surrounds Ihal sWCture is used lo produce inmme, describe the use and portbn
of ihe property ulilized tn produce income. I.��
CouNy
— /d'/�'�C
i��:���;�,�P
To.vnship
-�. �G �-o��s
I hereby certi(y ihe above sfatements are We, correct and complete.
Addreu (number and sheef, city, atate, ZIP tode)
County
° '� '°'���'�'?#�•'�,���� �.,�-'�}��.`;STANDARU:DEDUCTION�ALI:OWANCE�;''f' '"' r' "'� '�+"�? � =`–'"'
*���'�``a_`.,.�.�',:-.�z �ha�yvi�:� ,`�,'���-�'�'x.�.��"�s��"�v�i.�.. t
�. �
20 _ Pay 20 _
Lesser of 1/2 Homestead
vauaLOn or E35.000
$
Signah�re of Pudilor ' Date signetl