HomeMy WebLinkAboutHomestead_Carter (5)CLAIM FOR HOMESTEAD PROPERT/ TAX
CREDITISTANDARD DEDUCTION
t State Form 5473 (R6 / 4-03)
Preuri6ed by Ne Departmem of Loral Govemment Finance
INSTRUCTIONS: See 2verse side for �lirg insWCfions.
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FORM y"� YEAR _
HC70 � �
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� �°*' ' � � /�1 �/ l� ` � V✓ `�� � certiry lhat on l�he 1Sl �y�ud�rch. 20_
I(We) occupied as our principal piace of residence the following described real property for which a Homestead PropeAy Tac Credit is hereby daimed:
B�la
❑ I(We) owned ❑ Are buying under wntract CatBS�1yr. ��
`Have a beneficial interest in the en6ty that is liable for the property taxes on Ihe property and �hat owns the pmpEny�aQ�pqy{n��er a wnUact.
If buying om m�traa, Fee Simpla ownefs name
Remrders olfice where conireq is remrdeA
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Counry Tawnship
description
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It any portim ot Ne resiEenLal sWqure w Ne Wnd not e:ceeding one (1) aae
at tha properry utilized to produce i�ome.
Rewrd numUer � Page
district (cify,
Is the property in question: �
�-a.—�� �eal Dmperty ❑ Mobile Flomo (LG 67J-7)
immeCiatey wrtounds that swaure is used W produce income, tlesriihe the use and portbn
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:�`'.s� �+'.�+.,�'-�'.'�-r��':k577n'� �.z�.�.r _. _'___ _ -�at -�� '-
,_¢PROP.ERTY.OWNED'�BYCI''AIMANTIN!OTHER�COUNTIES �,__.,,_�.�'�5,��;`��� �;'�{�?�
County Toxnship Counry Tavnship
I hereby ceAify the a � slatements are W e, correcl and complele. � ature f�map� � -
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�dress (num6er sfreeC ciry, stafe, Z/P d
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r .=4L" 'r^ ''a� =- . `ru'. . ' w' 3.-hT ._ � . .. . . .. �_ . .
x'��'s?��A�ESSOR�US�EONLY� _.'� �Fy.�_�TVAL E� � AT700%OFTiVcz.s"y�.VALUE�'��-��f� NOS`, VALUE��L�ir�'
- , c, +sc�, � -._..Y..,- r...
Land not exceeding 1(one) acre immedialely � 4�' ��"�'r'a ��' �� y!.',
sunounding residential improvements. � � ? 2 �;�,k � .� �,iJ' �
'�.'�ir.?� �� � �-
Otherland (2) `�;�"�� x 4� s
, ��r��.�r�<
T�al land (line 1 plus line 2) �3)
i- � ..
�Residential improvements orMnualty �elling (4) ���� ���� ��?�� ��
llssessed Modle / Manufxtured Home �rage (5) �'=������,f '� :r # �?��:;
'� i'$..»'.aa�'`c.,i_�E'��.Y�tcbS,3_..�
-,:.�y y s
Other improvements (6) � ,�,•��aG �s� `?
.. r.w..��.�
Tdal improvemenfs (line 4 through line 6) (��
Rtal value (line 3 phs line � (g)
I hereby cerfify the above is W e, correG, and Signamre of 0.ssessor Date signetl
mmplete.
Verifyirg action - SignaW re of Puditor Date signetl
SiAiE FOIL\I:��S69 (R3B-10) TRE,\SURF.R FOA\1 TS-IA
�PROi'ED BY SiAiE BOARD OF A[CO{1\TS,1U09 PRESCRIBED BY l}[E DFPMT�.\T OF LOCAL GO\'ER.�I¢\T FI�T.�CE IC61.1 ':-A.I
, / • / / / . ' 1 � , � � , � r�T;- y' .
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
deduction becomes more beneficial, there is more iucentive than ever for homestead fraud. Homestead fraud
•causes higher tax bills for all; therefore, HEA 1344-2009 requires tazpayers who receive the homestead
standard deduction to verify that they are eligible to receive the bene5t and to pro��ide additional identif��ing
information necessary to allow county government to better monitor homestead filings. This information
will be kept confidential and can only be accessed by authorized county officials. The Department of Local
Government Finance will use this information to create tools that will help county officials eliminate
homestead fraud.
Tamarer \ame
Earl R Carter
Camplete and return to:
a.��r i
a
First
�j-2 i r� � C_e_
MiaCle
� /a8m0 as pOperty atlNe53
J
�• �«Idease
� �
htiECie
as poperty aatlress
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n
CI�2-I-e �
Last
Sacial Seaairy Nianoer (last 5 tllgl4) Dme�s Licensef5ta:e ID Numcer (Iast 5 di0�u) �� Oma (pleax sperily in Pan 4 Eelow)
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Each undersigned certifies, under penalty of perjury, that the above and foregoing information is true and correct and that he or she is eligible to receive the
homestead standard dedudion on this property. Each undersigned also understands that, by claiming additional homestead deductions unlawfulry, he or
she may be li�le for back tazes ary� substanti�l financial penalties.
5pouse
tr
II/�5 �
Il�s/lZ.
NOV 15
c.�.m,�
GIBSON COUNTY
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