HomeMy WebLinkAboutHomestead_ArbuthnotCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION
State Form 5473 (R817 -07)
u Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
I (we) L 461LQ7'(!p r l l/Il TiSI.0 certify that on the 1 std zf
I (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is h dd
GIBBON C YaATOR
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 burying on contract Fee Simple ownees name
office where contract is recorded
County
Parcel
Tavnship
f any n of the residential structure or the land not exceeding one (1) a e at i
N me roperty utilized to produce income.
'46 -/-el- / /61'-'-cco .03o -00 %
Township
I hereby certify the above statements are true, correct and complete.
and street city state. and ZIP code)
yn
County
Is the
Record number ) Page
town, township)
WReal property ❑ Mobile Home (IC 6- 1.1 -7)
that y6ucbre is used to produce income, describe the use and portion
of daimant
o _ pay 20
Lesser of 112
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
Data signed (month, day, year)
r r
Land not exceeding 1 (one) acre immediately
_£ C
surrounding residential improvements.
Other land
(2)��
Total land (line 1 plus line 2)
(3)
Residential improvements or Annually
Dwelling
(4)
-
Assessed Mobile I Manufactured Home
r -
Garage
(5)
Y
L"
Other improvements
(6)
Total improvements (lime 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, year)
complete.
Verifying action - Signature of Auditor
Date signed (month, day, year)
o _ pay 20
Lesser of 112
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
Data signed (month, day, year)