Homestead_YanceyCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
srero F«m u�a (Re i �-m�
Rexribed 6y the DepaNmrrt d Laxl Grn�mnrtwnt Fmarroe
INS7RUCTiONS: See iaw�rsa dda b linp iia6urb'one
FORM
HC10
�/� / �
I(VJe) ` T certify lhat ony��/�1/s t day�yMa �rc.h, 20
I(We) occupied as our principal place of residence lhe (ollowing de �bed real prope for which a Homestead PropertyTai � t is fie�eDy daimed:
❑ I(VJe) owned ❑ Ne buying under contwct GIBSON COUNTY AUDITO'+
. Have a benefitial inlerest in the entity ihat is liable (or Ne property taxes on the property and fhat owns the property or is buying under a wnUaG.
I( byvg an contrdq. Fee Simple owners name
ofim where contraq is recorded
Counry
Tavnship
(�/ /' iG�(J/d 'YJV ITT 7 /W GYO- '
If any ponion of the residantial sWCture w the land not exceeding one (1) aae ihat
of ihe VroPe+N uulaed m produm inmma.
County
Record number
Taing di�' t (dry, fpwn,
Page
I Is Ne O�oP��NY �/ yuestion: �
pQ Fieal property ❑ Mobile Homo (I.C. b f.7-n
�
wrtounds that swcWra is used b pmduce inmme, desaibe the uu and portion
-�� - ��- -.�
:TY;OWNED;BY CLAIMANT:
County
I hereby certify the above statemenls are We, wtred and complete.
_ QQO. ais-�a s
Tawnship
=.��.�a'.��i-�c�T!�''�`�-.��:�#'L="�cr-STANUARU;DEDUCTION'ALL`OMIANCE,�w?'-P'�.a�'�"'a��`i.'�.?�`�.`'�ta*axi";..'�'�'�_�� �3�•£�:`X'=Y`.��'�s`���'s.�
20 _ Pay 20 _
lesser ot tl2 Homestead
� Vaivauon a f35.000
$
Signature of Audrtw ' Date signeA