HomeMy WebLinkAboutHomestead_Cox (5)CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
`� CREDIT /STANDARD DEDUCTION FORM
State Form 5473 (R817 -07)
N prescribed by the Department of Laval Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
1 YJe certify that arch, 20_
I (w(e) ) 'ad as our prinapal place of residence the following descn ed real property for which a HomesteayP IA ft &imed:
I (We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded I Record number Page
County I Tcwnship I Taxing distri;l,(ciy,, town, fownship) .
I parcel numb er Legal description 17- yt -6 • iAe Is the property In question:
. SW N(v I /./ A1W ,S/L% I ❑ Real property ❑ Mobile Home (IC &1.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
Of the property utilized to produce income.
X7.3 00 - coo. 5 to
2u pay 20
Lesser of 12
Homestead Valuation
or
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Audilor * ( Date signed (month, day. year)
Land not exceeding 1 (one) acre immediatety
surrounding residential improvements.
Other land
(2)
-
Total land (fine 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
o m
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
'
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed (month, day, yead
complete.
Vailymg action - Signature of Auditor
Date signed (month, day, year)
2u pay 20
Lesser of 12
Homestead Valuation
or
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Audilor * ( Date signed (month, day. year)