HomeMy WebLinkAboutHomestead_Ingram°�" CLAIM FOR HOMESTEAD PROPERTY TAX
iA- t CREDIT/STANDARD DEDUCTION
State Fortn 5473 (RB / 7-07)
�� h�. � Pmscnbed by Ihe Departmem of Lacal Govemment Finance
INSTRUCTIONS: See reverse side /or filing insWcfions.
i (we�[�l',d K.vC/� �C.. �f-1�-O'�'�a.�OC l^
I(We) occupied as our prindpal place of residence the following
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�`�N ���rtify fhat on the i st day of March, 20_\
real property for which a Homestead Property Tac Credit is hereby daimed:
i(VJe) owned ❑ Fve buying under contract
Have a benefidal interest in the entity that is liable for the property tazes on the propeAy and that owns the property or is buying under a contract.
It buying on conlraq, Fea Simple oanefs name
Recordeis offica whare canlrad is recortlad
County Twnship
Tacing diy(ry'Ct (cily. fo:vn, tv.vnship)
Record number I Page
Parcel number L al descnption • p — Is ihe property in question:
� G�-� d� Cl ( ❑ R�i w�nr ❑ M�� rm� �ic s-�. �-n
It any portion ot lhe residential sWCture or the IaM not axceeding one (7 j acre ihat immediatNy wrtountls Ihat stnxture is used b produce incortre, describe Ihe use and portbn
of Ihe WoPartY uGfizad b Produce inmme.
o��-//� /y -�oo-000.�3��-oa7
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Land not ez�rg 1(one) aae immediately � cs ��. ��,c 1,
surrounding residential improvements. ��� � -
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OMer land (p� � _ -
Tdal Wnd (line 1 plus line 2) �3�
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Residential improvements w Mnualy �elling (4) ° �. f r
Assessed Mobile! Manufach�red Home <. s :.. � ,.�
Garage �5� _ ""`=.;r,,?.,.:.,.
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Other improvements (6) � . . -
Tdai improvements (line 4 fhrough line 6) �7�
Tdal value (line 3 phs line n (8)
I hereby teRify Ne abOVe i5 We, COrreU, and SignaWre ofAssessor Date signed (mrntA, Oay, yeer)
compiete.
Vai!yirg actian - SignaWre of Autlitor Date signed (rtm�fh, day, yea�
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_ pay 20 _ qs,ppp for 2007 pay 2008 42.000 for 207 0 pay 2011
Lesser of 1 Y2 qq,000 for 2008 pay 2009 41,000 for 2017 pay 2012
Homestead Valuatlon $
a� 43,000 for 2009 pay 2070 40,000 payable after 2012
SignaWra of fwditur Dale signed (mmth. day, yea�
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