HomeMy WebLinkAboutHomestead_ElpersCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
` � ` S�ate Fortn 5473 (R8 / 7-07)
Prescnbed by Iha DeparlmeM af Local Gwemmant Finaxe
INS7RUCTIONS: See reverse side Iorfiling ins6uctions.
FORM Y�`R
HC70
� �
�(�'Je) 1 / certify that o tne 1 st day� r� rch. 20
1(We) o wed as our prindpal place of reside Uie fdlowing described real roperty fw which a Homestead Propert� fil"s�K"�
F�EU' ereby daimed:
U �
,� I(VJe) owned ❑ Are buying under contrad GIBSON COU�TY Aud�i9p
Have a benefidai interest in the entity ihat is IiaWe fa Uie property taxes on the property and that owns the property or is buying under a con6ad.
Ii buymg on cmVap, Fee Simpe ownels �me
Counry
Paul number
If airy portion of
of Ihe property t
corrtaa is recorJad'
,ry Tavnship Taring districl (ufy, town, trn
V N
Le cnplion �—� I Is iha p erty in �
F
sWqure w lhe land not exceeding orre (7) acre Ihat immediately wnounds that r
�ce incwne. � ���
G�-o?�?-/O-/�- �. G1'�`i-Cb2-�
oo��ry
I hereby certify the above sTatements are true, correct and complete.
(rrumber and �aet �'M sfate.
�I
County
T. �(-/ V
Ril
Record number � Page
al property ❑ Mobile Home (IC 67.7-�
is usetl to produce income, descnbe Ihe use and portion
�. � � • .� • �
��'. •
Land not ex�ng 1 (orre) aae immediatey � � . r`' i � ' � t � •,; �_; :.
(11 �?x'6�,' .
surtoundirg residential improvements. -� *•; � .
{ i> .;
Otherland (2) .`�s_�°�•,,'?s..;:..`.: �.;:
Tdal WrM (line 1 plus lme 2) �g)
ResidentialimprovementswMnually �elling (4) a7- � � 4,�'�` ..r...�t,�:�:.
Assessed Mobile I ManufacWred Home �,. .
Garage �5� - � =; . � .
'iR �
� Ii
Other improvements (5) µ %...
Tdal improvements (1'me 4 through lirre 6) �7�
Tdal value (line 3 pfea 6rre � �g�
I he(eby teftify the above is true. tortett. end SignaWre otPSSessd Date signed (monfh. day, yea�
complete.
Veiiying aCion - SignaWre W Audiiw Date signed (mmN. tlaY• Y��)
�.-� � � • •
Pa1' Z�— 45.000 for 2007 pay 2008 42.000 for 2070 pay 2017
Lesser of 12 qq.ppp for 2008 pay 2009 41.000 for 2011 pay 2012
Homestead Valuation S
w 43,000 for 2009 pay 2010 40,000 payable afler 2012
Signature of AuGnw Date signed (montA, daY. Y��l