HomeMy WebLinkAboutHomestead_Delong" CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
` State Form Sd73 (R817-07)
I
Prescnbed by Ihe Dapartment of Laal Govemment Firiarce
lNS7RUCTIONS: See reosrse side /or filing instrucfions.
I �we) _ y�z�.—.�-�-�- 7�-. L.xC- /1
1(We) oaupied as our prindpal place of residence the fdbwing
FORM YEAR
Cao�
� g I
certify that on Ih�^l�f�fay �, 20_
reai property for which a Homestead Pmp�rty Tac Cred is herek y daimed:
GIBSON COUT!TY A�DITOH
,I (We) owned ❑ Are buying under contrad
Have a benefidal interest in the entity that is Iiable fw the property taxes on the property and that owns ihe property or is Wying under a contrad.
It Wyuip on canuacL Fae Simpe ownafa rmme
Recpderc oifica where conVad is retwded
Caunry TwnsNp
Tmcing tlists(c� (cdy, fown,
Record number � Page
Pa�cd number L al descnption �. j S,9 G�IS �he property in quesUOn:
L� NE .j �'3- // I ❑ R�i aovem� ❑ Mobik Home (IC 6f.1-n
If arry porGon of the re5itlarNal sVUClure w Ihe land nd enceedirig orre (i) acre Ihat immediately sunounds ihat structure is used to producs incame, descnbe Ure use and portbn
of Iha pmperty utiGZed b pmduce inmme.
��c-/�"3(0-o�00-ODD. 'lll-Od-y
�_ � . . .. . .
�� ..
Land not exceeditg 1(orre) acre immediately �,- : '
surtoundirgresidentialimptovemenls. (�� , t �
Other IarM (2� � _". ,
.''.:c: . �.
T[tal land (line 1 plus line 2) �g�
r s
ResdentialimprovementswMnualty �Ilirg (4) `,}� � �.° %, .�.,�';;
>,.
Assessad Mobile / Manufactired Fbme ` t p-:� '
��e �5� _ . _ . . . . -.
O�her improvements (6) -- - -i .
Tdal improvements (line 4 through line 6) �7�
Tctal value (line 3 pl's Gne � �g�
1 hereby certify ihe above is W e, correct, and Signawre of Assessw pafe signed (month, tlay. yea�
complete.
Verifyirg action - SignaWre of Audimr Date signed (monfh, tlaY Y��
�.-� � � • •
N— Pa1' Z� — 45.000 for 2007 pay 2008 42.000 for 2010 pay 2011
lesser d 12 qq.ppp for 2008 paY
Homestead Valuation PeY 2009 41.000 for 2011 2012 $
a 43,000 for 2009 pay 2070 40,000 payable after 2072
Signature of Ndita Date signed (monlh. daY•Y��)