HomeMy WebLinkAboutHomestead_Weber (5)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 IRS 14-03)
Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side for filing instructions.
FILtOY YEAR ,
MAR 2 S 2006
I (We) GIR',;OttEa10)JW6rAW%D8lay of March, 20
I (We) occupied as our principal place of re dente the following described real property for which a Homestead Property Tax Credit is hereby claimed:
❑ 1 (We) owned ❑ Are buying under contract
hHave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract
ONTRACT.' RECORDED
C:
If buying on contract, Fee Simple owners name
Recorders office where ntract is recorded Record number Page
t
- . . "�;.���'�s€^�'.si'�.l.d ,. �'_ ssMtv.° s'-'_..-,..-,: �cP#., 5.{ iP, ROP. ERT. YDESC WIT ION -. ?;ti' �fx�i�rtfiP� '��y"?°g�s"�.h�.�'stL�.r'+..:-
County
Township
County Township
Taxing district (city, town, township)
Signal a of claimant
L tn r
SO -0
n
Is the property
,�.';:pryr,.� /-
❑Real property ❑ Mobile Homo (LC. 6-1.1 -7)
H any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
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�- /J - 30 - as -o%
- lo
- - -. _ _. -
- ^ �'`' i�y��.$ .- ,�..�?.:�.°PROP.ERTY,OWNED;BY CL'' AIMANTtIN,OTHERCOUIJTIES�y - >_;9,K-�x:y�*fz�€��,1'"di,.,.�,"'�
County
Txxvnship
County Township
I hereby certify the above statements are We, correct and complete.
Signal a of claimant
(1)
Address
mr er w, 'street city�stat Pcode)
yr L ESSOR S ONLY 3 j -
t.3- •os -.- -� �+-
p�TRU E,TAX
-VALUE
ASSESSEDVALUE
`AT�700Ye OF TTV
HOMESTEAD -`'
.c':
rITNON- RESIDENTIAL
�j c t
�F- SSVALUEa.
Land not exceeding 1 (one) acre immediately
surrounding residential Improvements-
(1)
,�.';:pryr,.� /-
u
Other land
(2)
sy
Total land (line 1 plus line 2)
(3)
Dwelling
(4)v-'yr
Residential improvements or Annually''
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
/6
)X.
1
}'.riA`3
Total improvements (line 4 through line 6)
(T)
Total value (line 3 plus line n
(6)
1 hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
rSTANDAR131DEDUCTI0WAL' L'OWANCE
20_Pay 20_
Lesser of 112 Homestead
Valuation or S35.D00 S
Signature of Auditor Dale signed