HomeMy WebLinkAboutHomestead_Wilkerson (12)�, CIAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
Sta�e Form 5473 (R61403;
Presrribed by l�e Deparimeni of Local Govemment Finance
INSTRUCTIONS: See reverse side !or /iling instmc(ians.
FORM YEAR
HC10
� `
—r� � �� � �l
� . � �+
��e) G� certify Ihat on the 1 st day of Marchr20_
I(W occupied as our principal place of residence lhe following described real property (or which a Homesfead Property�Tae,(.TeCitis�heieby�daimed:
w, yv � � M1�J017C. %
� I(We) owned ❑ Are buyirg under contract p��acpN � �',�` ��
' Have a benefidal interest in the enlity that is liable for ihe property taxes on the property and that owns the property or is buying under a conUact.
If byvg on conirad. Fee Simple ownefs name
Remrders ofice where coniraa is recorded
_-�#���'�'?rti�i ��.Fr-fi�ZY�`i�h
County Toxnship
N any portim o( Ne resiCenilal sW c4ire or Me Wnd not
ot ihe propeM uGl"aed tn produce income.
Record number � Page
Tating disNict,�txy, Iown, towruhiP)
I Is the P�DehY in question:
/�� �,� ❑ Real D�operty O�+1���e Homo (I.C. 67.7-7)
(t) acre ihat immediatey wrtounds that swaure is used b produce inmme, Cescribe Me use antl portion
�����'�'� ��2 ��"���'����� �''� '��'"TRUETAX�� ASSESSED�VAI:UE ' HOIdESTEAD�'� �NON=RES�OENTL4L
$` �iA55ES50R!USE ONLY eL"'� �- s �R
�, ,�,y��s��-,�_�. ,������'-'�VALUE��,� �ATi100%'O �TT1/� ��'��*i-",VALUE� �.�-�`b�VALUE���'„?C ���
Land not exceeding 1(one) acre immediately ^�d ` �
surrounding residential improvemenls. �� � ��i��"�"����",�-'�..,'�„
�-.�s��.. w, � �_ ,.�. '-
A P.T."
Other land '•'
(2) ro� 'z�;�
Tdal land (line 1 plus line 2) (3�
� �--'�-J-"'3f�a '-�('R':'?
Dwellin9 (d) hGj',' .�. ��.. �a f y,
Residentiel improvements or Mnually � � �''2-�'����' '`-�
Pssessed Mobila / ManufacYUred Hortre Gara e ��� •,-'rl ;� a:
9 (5) ��y'' �T >n �
'<.`�:- Y��
Other impravemenis (6) � �.��^
3:.`r�..x:�� �
Tdal improvements (line 4 fhrough line 6) (�)
Tdal vatue (line 3 plus line n (g)
I hereby ceAify ihe above is We, conecl, and Signamre otwssessor Da�e signed
complele.
Vei(ying action - Signature oflwditar Date signeA
��"�"��'�'�iA,'ux�,'�c-'.i=°���*.'���?::ST/WDARO`UEDUCTION'AL'I:OWANCE�w°_��--re.�iti����u�`-��'-"`r2,=9�'��.��a��"''mc� :!
20 _ Pay 20 _
Lesser oi 1/2 Homestead 5
veWanon a 535.000
Sgnature of Audew " Date sgned