HomeMy WebLinkAboutHomestead_Banet�
�
C,
J
s.' n• P:.
CLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD / SUPPLEMENTAL DEDUCTION
State Fortn 5473 (R72 / 6-09)
Prescribed by Ihe DepaRment M Local GovemmeM Fnance
FORM E�
"c,OP,PR Ott
C.'J.n " V
ed personal residence Wst
.• � •
Nartre ol tlaQnani (legal nartre)
�er�/�
SoUal Securiry nmi0er of
• ••� �
11 buying on conbac�, Fee Simple ovmrls �wme -
Remfdefs otfice whe2 rontraU is remrCeE ' Recatl numbrl Pege
. _ � . . � . �
���y Township Tamig disvict (' to , 7 ip) �
PaRel number Legai desoiptim Is ihe pmperty in puestion:
. I yoperty ❑ MnuaAy assessed moM'le Irome (IC 6f.1-n
If arry portion of ttre msdential stn�cW�e ar Ihe WM not exceed'ug me (7 ) acre Nat unmetliately surtou Nat sWCUre is use0 tc pnAUce imm�a, Oexmbe the use anA portion
ol the P�PenY uti!¢ed to produre umme.
d�-��-�a-�o °%- a�o . �9 �.oag
-.. . .: . .
Caumy Township Counry 7ownsl4p
I hereby certify the above stetemenu are we, cortect and completa. `a°"� ° "`�'� �/ C`2. .��i%% ,
0 �> �hiri� «f�
drew (num6er and streeS riN. afate M LPcodej
o iv a'za�,g-�E Riti��i 6-v Z'•v ��!'7G 76
� . .� . �
•- � �� ..
Land not ezceeding 1(one) aue immediatety � ` �����'`�
sunountlin reslaential im rovementa ' �» �.a'�s'���s_�='-�"�`s.�` --�`+�-%`��r�
. � ��,�:+�" .�,
Otherland i2) � :'.%.x�:=:•.',��Y;�'+h..�+�Y .
Total Wnd (line 1 plus line 1) (3)
Dwelling (4) �'�,y�4`�`:�'�'���+>
Residential improvemenb or Mnualty �� s'�E�� "s '°6 d"
Assessetl MoWb I Manufactured Homa Garage (5) cs�"TU ��-�:�`��'"�J'�v�;��' ':
'7.'P' -
Olher ImprovemeMS (6) ,�?������
Total improvemen� (line / NrougA llne 6) (7)
Total value (llne 3 p/�s line n (8)
I hereby certify the above is We, Cortett, � SignaNre ofASSessar Date signetl (mmN, aay, yea�
and wmplete.
Veiyi�g aUion - Sig�Nre of FuGtn Date signe,d (manth. OaY. 3E�
� . • � � � • �
20 pay 20 _ Lesser of 60% of the assessed value of Ne homestead or $45,000
Notwilhstardog eny oMer proWSion, Ne aum o/fhe deductbns pmvitletl in IC G7.1-iZ fo e mo6de fwne Naf k $
rrot assessed as ieal property w fo e menNaGUred home Nat is rrof essessed es real propeM �Y �ot excee0
one�hatl (72) d Ne asses5ed vdlue aJ Ne mobde hame w manulaGUied home.
S�Btal�ue at Nditw Date a9�0 (month. EaY Yea�