HomeMy WebLinkAboutHomestead_Besing (2)CLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD / SUPPLEMENTAL DEDUCTION
i State Form 5473 (R12/6-09)
Prescribed by the Department of Loral Government France
INSTRUCTIONS: See reverse side for filing instructions.
MJ I FO YEAR
1 JUL 2 0 '"10
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CERTIFICATION
I (We)
yg�QMa occapl4dtasOmy (our) principal
place of resi nce or a re) buying the followin scribed real property for which a Homestead Property Tax Standard Deduction is hereby claimed
under contract on the d'Y.1 his application is filed, (date of filing):
❑ 1 (we) own ❑ Am (are) buying under recorded contract
❑ Am (are) entitled to occupy as a tenant - stockholder of a cooperative housing corporation
❑ Have a beneficial interest in the trust or the right to occupy the property, under the terms of a qualified personal residence trust
INFORMATION
Name of d ' nt (legal name)
Social Salbrity number of
Social Security number of datmant's spouse (last five digits)
Drivers license I Identification I Other number
Issuing State
of claimant's spouse (last five digits)
CONTRACT ••r r
If buying on contract, Fee Simple owners name
Recorders office where commet is recorded
Record number Page
PROPERTY DESCRIPTION
County
Township
Taxing district (c ,'t* township)
Parcel number
Legal description
o Prb
Is the pro ny in question:
� ❑
t to i
property
An uefiy assessed mobile hone (IC 6.1.1 -7)
If any portion of the residential structure or the land no xceedbig one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utifued to produce income.
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PROPERTY OWNED BY CLAIMANT IN OTHER
County Township County
Township
I hereby certify the above statements are true, correct and complete.
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Signature of claimant
r
Address (number and street, city, state, and Zhocode)
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.ASSESSOR USE ONLY I. TRUE TAX VALUE a
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Land not exceeding 1 (one) acre immediately
(1)`:
+, r- t- t-
"_
surrounding residential improvements.
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Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
mgr
Residential Improvements or Annually
Assessed Mobile 1 Manufactured Home%-'
Garage
Other improvements
(6)�;?`1xx.,,
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Total improvements (line 0 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct,
Signature of Assessor
Data signed (month, day, year)
and complete.
ventyug action - Signaanm of Auditor
Data signed (month, day, year)
STANDARD DEDUCTION
20 _ pay 20 Lesser of 60% of the assessed value of the homestead or $45,000
Notwithstanding any otherprowkin, the sum of the deductions provided N IC 6.1.1 -12 to a mobile home that Is
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not assessed as real property or to a mimufaclured home that is rot assessed as real property may not exceed
one- hafl(1/2) of the assessed value of the motile home ormanulacrured lame.
Sigmaw Audlior /8
Data signed (month, day, year)
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