HomeMy WebLinkAboutHomestead_SpindlerCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEa`R
CREDIT/STANDARD DEDUCTION HC10
` t State Form 5473 (R8 / 7-07)
Prescnbed by Ihe DeparUneM oF Local Govemmant Firiance
INSTRUCTIONS: See reverse side lor filing instruc6ons.
��e� � certify' !1fh�a�t on the 1 st day of Mara,, zo
I(We) ed as our prinapal pla of residence tl�e fdbwing described real property for which a Homesteao+aqpe�y �c�fi1 is hereby daimed:
cuUO
owned ❑ Are buying under contract
Have a benefidal interest in the entity ihat is liable fw the property tazes on the property and that owns the ro �g under a contrad.
If buyu�9 on aontraq, Fee Simple rnmets name
Recadefa OfGCe where cm4acl is
(city, town, fownship)
Racord number � Page
)Parcel nu^mbe, 1 �J /�� Lceg�al de^sc m ' Is ihe properry in question:
! V� IOC �O� I DI� yV �. � J�{,�Ol ❑ Real property ❑ Mobile Home (IC G1.1-n
�f arry portion oi the residemial sirucW re a Ne Wnd nd � eedirg orie (� ) xre that immediatey surrounds Iha� stnicture is used in produce inwme, describa Ure ux and portion
a�a,�Mw6=��P����a. n�N� P� � 2
.- .
. . .. . .
„.
Land not ezceedirg 7 (orre) acre immediately ' -- -: `-"'�'. `.,- � - -
surmundingresidentialimprovements. (�) _ _
Ott�er land (2� 2 r'.:,':.
tti , , �.
Tdal IatM (line 7 plus line 2) �g�
_ ' .� =
Residential imprwements or Mnualty ���i� (4) � -��s +
Assessed Mobile I ManufacWred Home -- ..
Gara9e (5) _ _`.,�'_...:-�•: � ,
_':`.`i...._ . .
Otherimprovements (6) - �:'�-:`���'
�-'t_ ,-
Tdal improvements (line 4 through line 6) �7�
Talal value (line 3 plts Grre � �g�
I he2by tertify �he above is true. torteC, aMl signawre oiASSessor Date signed (rmnlA, eay. yea�
complete.
Vaifyirg aUion - SigreWre MAutlitw Da1e signed (monN, EaY• Y��
20 _ pay 20 _
Lesserof 12
Homestead Valuation
w
45,000 for 2007 pay 2008 42,000 for 2010 pay 2071
44,000 for 2008 pay 2009 41.000 for 2011 pay 2012 $
43,000 for 2009 pay 2070 40,000 payable after 2072
Signatureol�in ��� �f� � 1 �-Y�—J1 IDate�n=
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