HomeMy WebLinkAboutHomestead_Falls (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (R5 I 1MI)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
HC10
CERTIFICATION STATfiM ENT
I (We) OtA;�(9L-�=ajtn the 1st day of March, 20--j
1 (We) occupied as our principal place/f residence the following described real property fo(Lhyih a Homestead Property TmCCrerfit is hereby claimed
-7
El I (We) owned ❑ Are buying under contract . , i. -1
Township
lave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying undu a contract.
Taxing district (city,
,IJK,ess (number a ode)
W.;?gq and s7 d a /V —Z/V 7 ("IK, a'
ni
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--1 "=-,CONT RA CTIRECORDED-;--
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded
Record number
Page
2�6 '. 'fll-- ' RTION
- :PROPERTY.DESCRI
County
n
County
Township
I hereby certify the above statements are true, correct and complete.
Taxing district (city,
,IJK,ess (number a ode)
W.;?gq and s7 d a /V —Z/V 7 ("IK, a'
%;--'- VALUE!.Y�4
PM mbar
L41 Sr
11sthepro
rtyinquestion
-
Land not exceeding 1 (one) acre immediately
Real property ❑ Mobile Home (I.C. 61.7-7)
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.
surrounding residential improvements.
A
1� R
068-,-7�ASSESSOR,
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
Signature pf claiVaant
,IJK,ess (number a ode)
W.;?gq and s7 d a /V —Z/V 7 ("IK, a'
1� R
068-,-7�ASSESSOR,
,-,,.TRUE -TAXI
A ' SSESSE . D.��LUE
'HOMESTEAD;
.. -
RESIDENTIAL
2t USE ONLY7� - tl�4-
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-1 f VALUE�,�-i-�'�
'A 100% OFITTV.-
%;--'- VALUE!.Y�4
VALUEt'l��
'Ur
'n ;g
Valuation or $6,000
-
Land not exceeding 1 (one) acre immediately
Sign of Audit
tin
t
surrounding residential improvements.
A
Other land
(2)
Total land (line I plus line 2)
(3)
Dwelling
(4)
Residential improvements
VWGarage
(5)
Other improvements
(6)
Total improvements (fine 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
STANDAREYMEDUCTION ALLOWANCE
20 Pay 20
Lesser of 1/2 Homestead
Valuation or $6,000
Sign of Audit
tin
t
A
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