HomeMy WebLinkAboutHomestead_WhittenCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
t Stata Form Sa73 (R6 / a03)
Prescribe0 by the Department W Local Govemment Finance
INSTRUC710NS: See ieverse side for (ling instn�ctions.
� �
��e) ,�.1 y�� i�/��=All eL L� �.l. �o/l� certiry t a� t e s£da pf March, 20
v ��' ,L,,-w —
I(We) octupied as our principal place of residence Ihe follo ' g described property for which a Homestead PropertyTac Cr t is hereby daimed:
❑ I(We) owned ❑ Are buying under contract
GIBSON COUNTY AUDITOR
� Have a benefidal interest in ihe enfity that is liable for the property taxes on the property and that owns the property or is buying under a wnUact.
I( buy'ug on conuact. Fee Simple ownefs name
RecoMefs ofiia where conVaa is recorded
Rewrd num6er � Page
�
��h' I T�'���D Tacing tlis cl ry, fown, (ownship) /
a
Parcel number L �escri ' n '
Is Ne pmperty in ueslion:
� ' Real proparty ❑ Mobila Homo (I.C. 67.7-7)
If any potli the revtlentlal sWCture a the Wnd not exceetling one (1 � acre that imm iatety sunounds that s aure is uud to produce income, describe the use antl portion
of the prove+M utii'¢ed to produce income.
c�� /� �?i- 3�0 -ooa. �a�-a�a �0 9�e,
Tavnship
I hereby certify the above statements are We, cortect and complete.
(number aM streef, ciry, state, Z/P code)
County
of claimant �
! �,"�`" '63t��`^�.''s � "a"_t;�`}�'"'.... r ..��q� , '""'.- . . . . . . . .
: �-���t�'`ASSESSOR USE ONLYE�'�`�?�t � ��r- hss�TRUE TAX?�� +�s ASSESSED VALUE �HOMESTEAD� i°y �NO =RESIDENTIA ��
� "rsM- �' �t�:�^"�:a8k� �_a .i�'d�.:��„�'"x� z3i" VALUE`i'-�-, -- AT.100%OF TN �i sYVALUE ,t ��' �6;. '.` �'VALUE � �' ,'�:
'?"' . n�.-. .r-�5.._ . : .� `
� —� _ _ __..1 _.. - ...._ .,..-.,n-.w.,. '� �?:Av,'S.P,,.. ,�..�._+s. c�at�r�,s...,r..�xr `r2
Land not exceeding 1(one) acre immediately („ �� '°`� .� � �, rF��,'�y�� ��.'y
surrounding residenBal improvements. ?�>��u-0.—`�i �-�._,
Other land '�`"�'' ° AY�
(Z) �'�.�'e-�.���.,�i'�'�.�_',','-_��'y3
re��..� �
Tctal land (line 1 plus line 2) �3�
Dwelling (4) ��1.c��£rs����
�ResidenGal improvements or Mnually � ` ' �`p� �
Assessed Mobile / ManuFaqured Home Garage 5 � :����'i;�"'����e'.✓
( ) *� ';�..� ����:
i�? . ��3
Otherim rovemenfs �=� x�
P �6� � �x �-'_"�'��'��-afi�
Tdal improvemenis (line 4 fhrough line 6) ���
Tolal va�ue (line 3 phs line n (8)
I hereby certi(y the above is We, correG, and Signature of nssessor Date signetl
complete.
Venfying action - Signature oflwditor Date signetl
'���_i���-f2�'�:'n�t�i�x;=�'*?�';u���"i�U��STANDARD'DEDUCTION�ALI:OWANCEtti ,^
J y.: ��+ nM�.-,v. �-i,Y'�TM� ��� +,v ��c "
.�••-. .v,_�.�.£�L'Xa5'i��.rYK'sa b.�3��t_-'ts!L��irC.��_�'
20 _ Pay 20 _
Lesser of 1i2 Homestead
vaUaUOn or E35,ppp S
SignaNre of Auditw ' Dale signed