HomeMy WebLinkAboutHomestead_Manion0 r. � CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R6 / 4-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
I (We)
I (We) as our principal place of residence the following described real property for which a
❑ I (We) caned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and,t
FORM YEAR
HC10
W
ti1a o% st day of March, 20
Property ax Credit is hereby claimed:
roDertior is btromr6nder a contract.
1`5.•.,N'1CONTRACT' RECORDED
f buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
E74 ` rare' '" 'y - -,.rt gP.ROP.ERTY,OWHEU BY CIAIMANT:W&HER'000NTIE5,r '_�i.
P,ROP,ERT,Ys DESCRIPTION` -
County nship
wa;
County
Twinship
Taxing district (dry, town, township)
Par nu be
L escrip
Is the property in question:
❑ Real property ❑ Mobile Home (I.C. 6-1.1-7).
H any portion of Ue residential sW cWre 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.
E74 ` rare' '" 'y - -,.rt gP.ROP.ERTY,OWHEU BY CIAIMANT:W&HER'000NTIE5,r '_�i.
County Ta nship
County nship
I hereby certify the above statements are true, coved and complete.
Signat t daima
Address (number and street, city, state, LP code) Q-2104-7
Q
Land not exceeding 1 (one) acre immediately I (1) I - --
surrounding residential improvements. -- - -
Other land
Total land (line 1 plus line 2)
Dwells V
Residential improvements t Ad Home ( _
Assessed Mob Mobile cto /Manufaured e Garac I'�,��J�l/,pti'
Other improvements
Total improvements (line 4 through line 6)
Total value (line 3 plus line n
1 hereby certify the above is true, coved, and
complete.
Verifying action - Signature of Auditor
20_Pay 20_
Lesser of 1/2 Homester
valuebon or 05.000
f (9 &,"p Le 46-
Date
W -