Homestead_Wallace (18)°' CLAIM FOR HOMESTEAD PROPERTY TAX
.. - v � CREDIT/STANDARD DEDUCTION
` suu F�, sa�a �Ra � �o»
��u r Prestribed by Ihe Deparlmerrt o( Loral Caavernmenl Finance
INSTRUCTIONS: See revarse side /or fiiing insWCtions.
I 'I E '= ,:��
, • � Ili _
Q
�(We) U�.Gl�GC� certity that on [he 1 st day of March. 2(1_
I(We) occupied as our apal place oi residence the following described real property for which a Homestead Pmperty T� Credit is hereby daimed:
�I(We) owned ❑ Ne buying under contract
Have a benefidal interest in the enfity that is liable for the property taxes on Ne property and that owns the property or is buying under a contract.
It buy'vig on conUad, Fee Simple ownafs rpme
Recorders otfice where conlrad is recorded
Counry Twmship
fo:vn.
Record numher � Page
Paicel num6er �(n Legal tl nptian Is (he properry in questian:
�`• `�jr�' ao �'�'l?� �( n �,� q ❑ Real property ❑ Mobile Home (IC 61.7-n
If any portion of the rwidential sUUCture or Iher not exceeding one (1) acre that immediately surtounds that sWCture is used b protluce incortre, deuribe Ihe use and portion
ot �he PropeM �NGZad tn produce income.
�� - �� -� a- a-o �-000.5s�-oa8
-.. . , : . .
Counry Tavnship County Tavnship
I he b ' ihe abwe sfatements a true, and complete. signature ot daimant
-ess mber arH 9raet te. an ZIP
��_ � � • .� • �
� � . •
Land not ex�ng 1(orre) aae immediately - ��� `� `
surroundirg residential improvementr. ��� ,..'�=: .
Otherland �Z� _ • -
Tdal land (line 7 plus line 2) �3)
ResidentialimprovementsorMnualty ��ing (4) -;�,, `?.s�,d� j �y., - �:'.'� F4 _�
Assessed Mobile! ManufacWred Home -ir'ti-�` `;�>' ; :i:..
Garage �5) � � �.r
w J �": ;}
Other improvements (6) � � -
Tdal improvements (line 4 through line 6) �7�
Tctal value (line 3 pl�s line � (g�
1 hereby certify �he above is true, cOrreU, arM Signature of Assessor Date signed (monfh. tlay, yea�
complete.
veriyirg aaion - Signawra of Auditw Dale signed (ma+N, day. yea�
20_pay20_
Lesserof 12
Homestead Valuation
w
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41.000 for 2011 pay 2072 �
43,000 for 2009 pay 2070 40,000 payable aRer 2072
Synelure of AudlWr _y� r 1 1 � � �. l� I X.-.n�l 1.