HomeMy WebLinkAboutHomestead_Stough� CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Safe Form 5473 (R8/ 7-07)
� w� Piewibed by Ne Departmerp oF Local Govemman� Finance
INSTRUCTIONS: See reverse side /or filing instn.tfions.
FORM Y�R
1 HC10
��J � � � �=
II(We) " � certfy ihat on the 1 st day oi March, 20_
I(We) occupied as o r rindpal place of residence the fd � g described reai property for which a H«nestead P��c��t is hereby daimed:
��I(We) owned ❑ Are buying under contract (�`IBSON COUNTY i.i1✓�{�::�:
Have a benefiaal interest in Ne entity that is IiaWe fa the property taxes on the property and that wms the properry or is buying under a contraC.
If huying on conirap, Fee Simple awnefa imme
Retatlefs d5ce where cmUaq is rewrdatl
Counry Toxnship
Patcd
descriplion
f the residential swcture w Ihe land not �ceedirg
uU6zetl in produce imm�e.
(city, town.
Is Ihe
aue Ihat imm�aiely surtounds U�al
aG- //-ia-/o!- Goi ��s-6a�
co��ry
I hereby certify tt�e above sfatemenfs are We, correct and comple[e.
Counry
IRecord number I Page
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i9uesGon:
Real properry ❑ Mobile Home (IC 61.1-n
ire is used W produce inmrtre, dessribe Ure use antl pOrtion
�. � . • .. • �
��.•
Land not ex�ng 1(orre) aae immediately ;. �`� ��y �+ �-_
wrroundiig residential improvements. ��� � '= x �a• -"
..��• �A:_�.
VYIe�qIW �Z� '��.._-� .
Tdal land (line 1 plus line 2) (g)
Dwelling (4) ' � "• � -
ResidentialimprovementswMnually r Y= ' �. ��;�
Assessed Moale / ManufaGUred Home - � -
Ga2ge �g) � . ' -
OU�er improvements (6) � ..}a",'::�'.; �'.�°'
i
Total improvemenu (line 4 fhrough Gne 6) �7)
Tcfal value (line 3 plis Grre � (g�
I hefeby Ceffify Ne abOVe IS We. COrteCt. end Signawre otASSessa Date signed (monlh. daY.Y��
comptele.
va;ry�� a�o�, - sp�w.e a a,mm� oa� �oad ��m, ear. r�1
..-.. . . .
PeY 2� — 45.000 tor 2007 pay 2008 42.000 for 2010 pay 2071
Leuer of 12 qq.ppp for 2008
Hortrestead Valuatim PaY 2009 41,000 for 2011 pay 2012 $
a 43,000 for 2009 pay 2010 40,000 payabte after 2012
Signawre oflwditn Date signed (monlh, daY. Y��