HomeMy WebLinkAboutHomestead_Jones (15)"' t CLAIM FOR HOMESTEAD PROPERTY TAX
s. �- v CREDIT/STANDARD DEDUCTION
- Stata Fortn 5473 (R8 f 7-07)
•� �•u '� Prescnbed by Ihe Departmerrt of Laal Govemment Finance
lNSTRUCTIONS: See raverse side lor fi/ing insWctions.
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� ih'e1— /�� �� ��(j%�� certify thal on the 1 st day of March, 20 `_
I(We) occupied as our pri�dpal place ot reside e the foliowing described real property for which a Homestead Property Tac Credit is hereby daimed:
r1 I(We) owned ❑ Ne buying under contrad
' Have a benefidal interest in Ihe entity that is liable fa the property laxes on the property and Nat owns ihe property or is buying under a contract.
If buy'mg on conUact, Fee Simpie ownefs name
Reoordefs afiice where conUad is recorded
Caunry
Tamship
(city, fovm, township)
Recortl number � Page
Parcel number Leg descLnpli�on� . � �I Is Ihe properly in question:
7�J�V�YY�.C_ 3� �/ I ❑ Real P�PartY ❑ Mobile Home (IC 6-7.7-�
If any poNon of the residential sUucWre or the land t racceeding one (t) acre �hat immediately surtounds thal sVUClure is used to pmduce inwme, descnDa Ure use aM porlion
aFthe property NiGzetl to pioduce income.
a6- /d-o8- 30�- oo�. v��-oa-8
County
County
I hereby certify the above statements are true, correct and compiete.
sheet cily, state. and Z!P cnde)
of daimam
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Land not eueeding 1(olre) arle immediately , �•
surroundingresidentialimprovements. ��) - , - � � ��..
Other Wnd �p� . -
Tdal land (line 7 plus line 2) �3�
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Residential improvements or Mnualy ����� �4� - �
Assessed Mobile / Manufachired Home - � -� � � _
Garage �5� - , ��: �
Other improvemen� (6) � , � , .
Tdal improvements (line 4 through line 6) ��)
Ttlal value (line 3 pl's Gne n �g)
1 hereby certify the above is We, correct, and Si�nature ofAssessor Date signed (monm. tlay, year)
complete.
Veriiyi�g adion - SigreWra of �inr Date signed (rnmfh, day, yea�
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_ pay 20 _ qs.ppp for 2007 pay 2008 42.000 for 2070 pay 2011
Lesser of 12 qq.000 for 2008 pay 2009 41.000 for 2071 pay 2072
Homestead V�uation $
« 0.3,000 for 2009 pay 2010 40,000 payable after 2012
Signature otAuditw Date signed (monffi. day. yea�