HomeMy WebLinkAboutHomestead_Maikranz (3)CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION HC10
Stale Form 5473 IRS / 4-03)
Prescribed by the Department of Loral Government Finance
INSTRUCTIONS: See reverse side for filing instructions. -9
I (VJe) J certify tfiaCon the.l so t March, 20_
(We) occ pied as our principal plat.: of residence the following describe re property for which a Homestead Property Tax Credit is hereby claimed:
1 (We) owned ❑ Are buying under contract ` r %
Have a beneficial interest in the entity that is liable for the property taxes on the property and that ownEt:yr6p`erty or is b ng— undei a contract.
CONTRACTRE_CORDED'
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
:MEst� ; ���i��sPROP .ERTY;OWNEDjBY:CL'AIMA NT; IN ( OTHER "COUNTIES ftteZ- �'e,rYs
- ...� -
.- at�viP, ROPERTY. DESCRIPTfON
County
Township
Signature of claimant '
Taring district (city, town, township)
0 P cel
umber
L a d do
rr��
the property in question:
_
Qf
1 ❑Real property ❑ Mobile Homo (I.C. 61.1 -7)
If any portion of the residential structure or the land not exceedin a (1) alre
that immbiliatety wnounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
:MEst� ; ���i��sPROP .ERTY;OWNEDjBY:CL'AIMA NT; IN ( OTHER "COUNTIES ftteZ- �'e,rYs
County Township
County Township
hereby certify the above statements are true, correct and complete.
Signature of claimant '
�d
ands
!, rify,�tate, Zl e) LA L L in
CI
ESSOR USE ONLY
=-- IKUM -,I h
Lfrii? ,3
ASSESSED VALUE
^ HOMESTEAO��`'
P.
NON- RESIDENTU1L b
it.�tvVAI:UE�
0
FAT,�700 %OFii!!V-
3uVALUE;s
i.#agVAI.UE�.?:.StGG'.?
Land not exceeding 1 (one)
tints. atety
Date si ned
—O_
ve
surrounding residential improvements.
Other land
,t amitrsr >�.L�
Total land (line 1 plus line 2)
(3)
Dwelling
(4).rF',l-
Residential improvements or Annually
S'..s,,'r'..2:
Assessed Mobile /Manufactured Home
a
Garage
(5)
.NO
ri
Other improvements
(6)
�v
Total improvements (line 4 through line 6)
(T)
Trial value (line 3 plus line 7)
(6)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
--STANp` ARD_. OEDUCTIONiALLOWANCE
low 20 _ Pay 20 _ -T
Lesser of V2 Homestead
5
Vauation or 535.000
Signature of Auditor
Date si ned
—O_