HomeMy WebLinkAboutHomestead_Anderson (5)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
t State Form 5473 (R6 / d-03)
Prescribed by lhe DeOartment of Local Govemment Finance
INSTRUCTiONS: See reverse side for filing instiuctions.
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FORM
HC10
YEAR _
I(We) � � certi(y that on the 1st day of March, 20
/� �,Wl —
I(We) occupied as our principal ce oi residence lhe following descnbed real property for which �a�Hoinestead Property Tac Credit is hereby daimed:
�] I(We) owned ❑ Are buying under wntract � CQUNTY AUD�T�R
ni SON
'�Have a benefidal interest in Ihe entiry ihat is liable (or the pmperty taxes on Ihe property an� Ihat owns the property or is buying under a contract.
If buyug on conVad, Fee Simple ownefs name
Recorders office where contract is recorded
��..Y'�9��s'{.f A 7i�.'-.�n�� rry.F..k�i.��i hxs�°,
County Tonnship
Tating tlistrict (ciry, town, fownship)
i n cer �e9al e ai�� Is Ihe m
I -�1453 �D '1 "
If any ponion of Ne residenllal sWqure w the land not excaeding one (1) aae that immeaiatety sunounds that
of the perty utilaed to produce income.
�
c�G -�a-��-�0�1-�� �3- ode
Record number � Page
question:
Real property ❑ Mobile Homo (I.C. 67.7-n
ire is used b D�uce income, dewibe the use antl poNor�
-� ' �'`a'~�t-`'d`�"°'x^ '�'�-�z� `TRUETAX� � ASSESSEDVALUE HOMESTEAD� xNON'-,�RESIOENTIAL��'�
�-' �, +y'� ASSESSORUSEONLY �r- ;dyp[UES� AT�100%OFeTTV VALUE a, KVALUE �
u'��;..R.wjt s.+a ..u� _.4t`�7�^a=.%'.: .�-� � ..�� � � .,A. � '� �d.._ .�� ����s. -.. � t�' �i�t
Land nol exceeding 1(one) acre immediatety V, "`� , � � -" ��.'.r �
surtoundingresidentlalimprovements. • (�� 4 �� ' ��� '
'.Y���_ ,:i,-y�R�'
Oiher land �' ��'�� "`}�X'� '
�2� �r���"��
..2� '%r-�
Tdat tand ((ine 1 plus li�re 2) (3�
-:�, sa`z-+ , �`; 'e ;
Dwellin9 (4) � � � �c,?C+
�Residential improvementa or Mnually -.��--2�-�4ti6� � . '�,a`��;ir.�5.
7
Assessed Mobile / Manufac4ued Home Garage �5) �.' ` .,.i' ��.. `.. '-^"`�'' � � � s
��i �n." '. *,:: : �,!..�. �3-�
`�`� �;,• . � - 1, :.
Other improvements (6) �'� %�
� a�w , �..�ie,.
Tdal improvements (line 4 through line 6) (��
Tctal value Qine 3 plis line n (g�
I hereby tertify fhe above is We, correct, and Signature of Assesmr Data signed
complete.
Vrriryi�g aclion - Sigreture oflwditor Date signed
20_Pay20_
Lesser of 1!2 Homestead
vaivauon w E35.000
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e
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signetl