HomeMy WebLinkAboutHomestead_Harrington0 � � ! CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R614-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
I (We) / J /V
I (We) occu ed a o r principal p e of residence the following 'bed real
❑ I (We) owned ❑ Are uying under contract
Have a beneficial interest in the entity that is liable for the property taxes on
jFORM �� _ l) YEAR
HI10, 7 '. �!
DEC 2003
for ich a Homestead Property Tax Credit is hereby claimed:
eFly and at owns the property or is buying under a contract.
�i %a€CbNTR/1CPRECORDED'-: -�
If buying on contract. Fee Simple owner's name
Recorder's ofics where contract is recorded Record number Page
i, B1,21 'ht"�
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��:��st�.w-�^7P,ROP,ERTY:DESCRI .TION.�`� -<;;•' sa�'��?�.� .s��i�""'��t``.>;- .�+,v-
County
Township
T is dry, town, r
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a ie f cl ' �
�hip1)
W
Parcel number ,/'7�
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6 �,- 7- '
Is the property i question:
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pIC..
Real property ❑ Mobile Home (I.C. 6-1.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds mats cture is used to produce income, describe the use and portion
of the property utilized to produce income.
I
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County
Township
Lesser of 112 Homestead
County
Township
I hereby certify the above statements are true, correct co/mplpllettee.(n/
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a ie f cl ' �
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���and
�dreM and�ls ree IN , _ _ qo tJ -_
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6 �,- 7- '
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6l/
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; STANOARDAEDUCTIONIAL' LOYVANCEt.^- E�_- P.' .,,',.�rYy,>;s- �c�3�,•.e`E'�+..
NOTRUETAX� `
ASSESSED VALUEHOMESTEAD'�`
Lesser of 112 Homestead
"`NON - RESIDENTIAL
�
valuation or 535.000
9El'..ft�
;`ATz100 %OFiT7V
R 4VALUE,rr�.F°
—.i�SVALUEr�yy�
Land not exceeding I (one) acre immediately
r _T' -W
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
s,,. s+;=)r .� a!r7m>
—t-ti.
Residential Improvements or AnnuallyV'�"`-
Assessed Mobile I Manufactured Home
Garage
Other improvements
(6)y,�,"
Total improvements (line 4 through line 6)
(7)
Trial value (line 3 plus line 7)
(6)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
>-
; STANOARDAEDUCTIONIAL' LOYVANCEt.^- E�_- P.' .,,',.�rYy,>;s- �c�3�,•.e`E'�+..
20 _ Pay 20
Lesser of 112 Homestead
$
valuation or 535.000
Signature of Auditor
Date signed
0