HomeMy WebLinkAboutHomestead_HammelCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5073 (R8 r 7 -07)
,. Prescribed by the Department at Loral Government Finanoe
INSTRUCTIONS: See reverse side for filing instructions. kq _ (1 J
I (We) >/'s aM ll 10IM4 / ( 'a 4;n /y%1 L
I (We) occupied as our principal place of residence the folk wing described
I (We) owned ❑ Are buying under contract
F YEAR
MAR 1 0 2009
1 siaay of March, 20_
property for which a Homestead Property Tax Credit is hereby claimed:
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.
CONTRACT ••. r
If buying on contract. Fee Simple owner's name
Recorders office where contract is recorded Record number Page
PROPERTY OWNED BY
_ pay 20 — 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
County Township
County Township
PROPERTY DESCRIPTION
Slgnawr of imam
County
Township Taxing di
y to , t ship) (�
Parcel number
L a es 'p'
Is the property in question:
NON-RESIDENTIAL
I ❑ Real property M Home (IC 61.1.7)
Ile portion of tM residential suucture or the no exceeding one (1) awe that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
a(o -i 4 - /g- j04/- 00/.03 -/ -0Q7
VALUE
PROPERTY OWNED BY
_ pay 20 — 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
County Township
County Township
1 hereby certify the above statements are true, correct and complete.
Slgnawr of imam
address (number and saee4 city te, and e)
a-7 d
ASSESSOR USE ONLY
TRUE TAX VALUE
ASSESSED VALUE
1 HOMESTEAD
NON-RESIDENTIAL
AT rr'. OF TTV .1
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
4tyY..•:ki ' ris:c r:
Other land
(2)
?,, : •.
TUal land (line 1 plus line 2)
(3)
Dwelling
(4)
•' r,i',
�'r+'�':,.,
Residential improvements or Annually
_� 4 '.
t
Assessed Mobile/ Manufactured Home
Garage
(5)
Other improvements
(6)
-
Total improvements (line 4 through 6ne 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certity the above is true, correct, and
Signature ofAssesw
Date signed (month. day. year)
complete.
Verifying action - Signature of Auditor
Date signed (month, day, year)
_ pay 20 — 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 12 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation
S
« 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor
Date signed (month, day. year)