HomeMy WebLinkAboutHomestead_HowesCLAIM FOR HOMESTEAD PROPERTY TAX
s CREDIT /STANDARD DEDUCTION
State Forth 5473 (R614 -03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing inslnictions.
FORM YEAR
HC10
I _
I (We) / e at on the 1sofMarpcha2 beed
I ((,We) /of� as our pd ci a st ence a following described real property for which a Homestead Property-Tax Credit is herebYY[[I�
LJ y(We) owned ❑ Are buying under contract / /
L..
' Have a beneficial interest in the entity that is liable for the property taxes on the property and That owns the property w.� � b�`u�y g ender a'contracL_
m-
.:t�.+;+.t.- }s*C._- ���t`ds 1Fi- 1CONTRACT'RECORDEDi:,r- -�i-,a
If buying on contract. Fee Simple owners name
Recorders office where contract is recorded Record number Page
..i7 r`'��,�:4, PROPERTY, OWNEDiBY :CL'AIMANT;IN'
County
Township
Taring di t (a r , towns ip)/I' -
Parcel number
L escri i
Is the property in estion:
Address (number and street, city, state, ZIP code)
Y uu-.tVALUE. i.:
eal property ❑ Mobile Home (I.C. 61.1 -7)
If any portion of the residential structure or the land not exceeding one (1) aae that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
..i7 r`'��,�:4, PROPERTY, OWNEDiBY :CL'AIMANT;IN'
OTHER' COUNTIES 35"+i.�.�.'C =. T.-*;'`« -;�r>'`,s>,{�z"`jj��-WrPi,j
County
Township
County Township
I hereby certify the above statements are We, correct and complete.
Sign a of cl ' a t
Address (number and street, city, state, ZIP code)
Y uu-.tVALUE. i.:
'W: 'k,aV/1LUEr" -f +'p sr.
Land not exceeding 1 (one) acre immediately
1 ASSESSOR~`"S
�TRUETAX'
ASSESSED VALUE
'HOMESTF.4�
w NON E-R 81 EO NTIAL $ �±
� i > fi''.,&c4' _,.'_•s�".'?at`a'"a' -x "4ru4
�VAL6E> EKU, .
,r AT 100 %'OFiSTTV
Y uu-.tVALUE. i.:
'W: 'k,aV/1LUEr" -f +'p sr.
Land not exceeding 1 (one) acre immediately
`�a,;.
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Assessed Mobile / Manufactured Home
Garage
(5)
�"r ✓ e�,
Other improvements
(6)
rw
esx
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
I hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
26/ -1 Pay 201/i
Lesser of 1/2 Homestead
Valuation or 535.000
Date signed