HomeMy WebLinkAboutHomestead_StrawCLAIM FOR HOMESTEAD PROPERTY TAX
CREDR/STANDARD DEDUCTION
� S�m Foim 5473 (R7 / s0�
Preacnbad by Ihe DeperUrent aF Loral Gwemrtier�t F'uwim
� INSTRUCTIONS: See ieverse side (or filing instructions.
FORM Y�
' HC10
� � �
I(VJe) � 1 _ I certity fhai on fhe 1 st day of March, 20_
1(We) ocapied as prindpal place resid e foDowi described reai property for which a Hanestead ProperiyjTmc�Ccedi4fs�'h�eby daimed:
-� � cwe) ownee ❑ n.e bunny unaer ca,aact � U
GIBSON COUNTY AUDiTOR
�ieve a berefidal interest in the entily Uiat is liade for the property haxes m tl�e qoperty and ihat avns the property or is buying under a contracl
tt Wy'viB om m�tracl. Fee Sirtqle o.+iera r�me
Remrdefa ofiice wl�era
Ca�mry
TuvraNp
town,
Recud numbar I Page
Part�d mcr� L al d�criPtion / '� Is the property in question:
� II � I( �� Q Reel poperry � Mo6ib Fiome (I.C. 6f.1-�
H arry � n d ihe rmidential atr�ae a Me IaM rro1 ecceeding one (1) eue ihal unmedately aimun� Ihal �ve is used b pmduce uwortie. desaibe the �ae and G�n
ai N rly uliGmd b P�'vimme.
�G- a�- va- �ov-oov, s � i-o�-�
�a�ry
I he�aby certify the above statements are true. correc[ and complete.
•'��'�;��`�;?�":��,�:_��a�ia?s��.tr.�",�!r;�sraaoaRn!oenucnorrn��ownr�cef���� �tit�„t:�,��":Xw'�'�n�:�`���'!:s"„?��;*a��:
20 _ Pay 20 _
Lesseraf 1/I Homestrad
Valuatim w E35.000 E
SignaLUe at PLdita Date signed