HomeMy WebLinkAboutHomestead_Whitehouse (2)CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
Slate Fwm 5473 (RB / 7-07)
� u' P�escnbetl by Ure Departmeiri of Local Govemment Finance
INSTRUCTIONS: See reosrse side !or filing insWctions.
� M/e) i(-�'/I.Qi/l/P�.O'1'1 Lt/ !�4/�.��OG(a3L+
I(We) occupied as our prindpal place of residence the fWbwing described real property for which a
I(VJe) owned ❑ Are buying under contraIX
Have a benefidal interest in ihe entity that is liable fw the property taxes on the properry and
If buyin9 om m�tra0. Fee Simple owners rqme
Recordefe of5ca whare contrad is recaded
Counry Tawnship
descnplion
��
Tacing district (citY. town, to�.mshiP)
FORM
HC10
YEAR
��(908�ne �SC aay or naera,, zo_
i Property Tm� Credit is hereby daimed:
pro�,p5{y&uying under a contrad.
Recwdnumber �Page
Is I�e property'v� question:
❑ Real property ❑ Mobile Fbme (IC 6-7.1-n
If airy portion of the resideMial struaure or Iha Wnd not exceedirg one (7) xre Ihat "un�ately surtounds Uref siructure is used m produce Inwme, deuriEe Ure use and portbn
of Ihe property utiGZed b produce inmme. �^ �� {
1 1 /�
��w^ �
�.-� � � � �
PaY ZO — 45.000 for 2007 pay 2008 42,000 for 2010 pay 2071
Lesser W 12 qq ppp for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation $
w 43,000 for 2009 pay 2010 40,000 payable after 2012 . . .
Signature aflwdita Dale signed (�nth, day, yea�