HomeMy WebLinkAboutHomestead_DoernerCLAIM FOR HOMESTEAD PROPERTY TAX YEAR
� CREDIT /STANDARD DEDUCTION CRg I
` State Form 5473 (R8l 7 -07)
,. ✓ Prescribed by the Department of Local Government Finance Ij
INSTRUCTIONS: See reverse side forfifing instructions.
I (We) l v � �Ferq Wtjjbe "Of March, 20_
1 (We) occupied as our principal place of r ' ence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
0 1 (We) owned ❑ Are buying under contract DEC 1 2 2008
Wave 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.
11 buying on contract, Fee Simple owner's name
ONCE) where Contact is recorded
County
Taxing district (city, town, township)
Record number I Page
G, n _
1I�rO0__
' ✓`/� �,
County Township
Legal tl PO �
V
Is the property in question:
❑ Real property ❑ Mobile Home (IC 61.1 -7)
If arty 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
d the property utilized to produce income. � , r I q-3-9 I - A c
PROPERTY
t
pay 20 — 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
County Township
County Township
I hereby certify the above statements are We, correct and complete.
ign re 01 dalrpam
'l l
® (n and t texpnQ ZIP code)
6 6
ASSESSOR
1ASSESSEDVALUE1 HOMESTEAD NON-RESIDENTIAL
AT 100% OF TTV VALUE VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements. (1)
. .
Other land
(2)
Trial land (line 1 plus line 2) '
(3)
Residential improvements or Annually
Dwelling
(4)
Y; -
Assessed Mobile / Manufactured Home
-
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus fine 7)
(8)
1 hereby certify the above is hue, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Sigma Wre of Auditor
Date signed (month, day. yam)
STANDARD DEDUCTION ALLOWANCE
t
pay 20 — 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser xhf 12 44,000 for 2008
Homestead Valuation pay 2009 41.000 for 2011 pay 2012
$
Of 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor
Date signed (month, day, yea
-a
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