HomeMy WebLinkAboutHomestead_SingerCLAIM FOR HOMESTEAD PROPERTY TAX � YEAR
CREDIT/STANDARD DEDUCTION � H 10
` Sla�e Fortn 5473 (R8l 7-07)
� Prescnbed Ihe
by Departmerri of Laal Govemment Finerroe
INSTRUCTIONS: See reverse side fir filing insWctions.
•`- I.f7/7J �
I.I •iJL.l.J��r;air�
� certify
described reai properly for which a Homestead
MAY 1 9 2009
I(We) owned LI Are buying under contrad
Have a beneficial interes� in the entity that is IiaWe for the propeAy taxes on the property and that owns the property w is buying under a contract.
If buying on conuact, Fee Simpe o.mefs'mme
counry
Twnship
town.
Retord number � Paga
Pam.el number Legal dwcription I Is the pmperty in quesUon:
Real property ❑ Mobile Home (IC 67. f-n
If arry poAion resideMial struGUra or �he Wnd nol �ceedirg one (7 ) acre that immediately wrrounds that re is used b produce inwme, descnDe the use aM portbn
N ihe GroPe � zed b Vroduce imm�a.
<a'G -/a-o7- 3of� oQ.3./G�-oa�
,_ , . . .. . .
„..
Land not exceeding 1 (orre) aae irtvnediately _} � � ` � ��* � ' ��xi =
surtoundirgresidentialimprovemenlc. (�� � v ��,?:� '?`
�. r'.-
Other land (Z� -._: � _,s.. ".f,e: ;: ;; :
'; ±.. `-.r.`"' �'' �`
�Y. 1'
Tdal larn! (line 1 plus line 2) �3)
.'�,A...s-,� � ' � . � �' _ � 2
Residenfial "unprwemenLS aMnually �Ilin9 (q) �"`�N 4 Y�� } �:,r��� ak .
a .::
Assessed MotAle / Manufat4ired Home ; Zt c�.. "`� �, �.� *,� r. :
Garage �5� S-,� ��.4 n �.. . ^ :.
- 4 a r,:. v�� � t,�� �..;
�
Other improvements (6) ;, 3 -
s, .:
TUaI improvements (line 4 through Gne 6) �7�
TUaI value (line 3 plus GYre n (g)
1 hereby Ceftity Me above i5 We. cOrreG, erM Signature ofAssessor Date signed (month. tlay, year)
complete.
VerNying edion - Sigreture ot �tw Date signed (mmN. daY. Y��
20_pay20_
Lesser of 12
Homeslead Valuation
a
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41.000 for 2011 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2072
.