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CLAIM FOR HOMESTEAD PROPERTY TAX � YEAR
� CREDIT/STANDARD DEDUCTION ��r� 2 OS
` State Fortn 5473 (R8/7-07) (�
, Prescnbed by Ihe Departmern of Local Govemment Finance \�
INSTRUCTIONS:Seereversesidalorfilirn�instructirns. � �Q
•
II � l�^�e) certify Mat on the 1 st day of March, 20
1(We) occu ed as our prinapal place of residence following described real property fa which a Homestead Roperty T�c Credit is hereby daimed:
�I(We) owned ❑ Are buying under mntrak
Have a benefidal interest in the entiy that is IiaWe fw Ne property taxes on the property and that owns fhe property or is buying under a con6acl.
It Mry"vig on canUacl, Fee Simple ownels rmme
Recardera of6ca whara canirac4 is recorded
Counry TownsNp
(ci(y, lown. townshiP)
Recwd number � Page
Paicel number L I description L _' �� `� Is Uie property in question:
�NLG S2li p O�`�% 3� �❑ Real pioperty ❑ Mobile Fbma (IC 57.1-n
If any portion of lhe residential sUUdure w Ihe IaM not exceedirg one (1) acre ihat immediately wrrounds Uiat sinicWre is used to produca inmme, descnbe Ihe use and portion
of Iha pioperty utiGZed b produce inmma.
a�-ia- o�- a-o3- ooi. �a�-o�-8
N_pay20_
Lesser of 12
Homestead Valuabm
or
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41.000 for 2071 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2012