HomeMy WebLinkAboutHomestead_TroutmanCLAIM FOR HOMESTEAD PROPERTY TAX A YEAR
CREDIT /STANDARD DEDUCTION tth
State Form 5473 (RS 17 -07)
. Prescribed
by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions. FEB 2 4 2009
I (We) % certify Sp�j tthef�113 6), of erch, 20_
I (We) occupied as our rincipal place of idence the folbwing described real property for which a Homestead Properly 7�tL d is �f�j�jgimed:
I( I (We) owned - ❑ Are buying under contract
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 •••
If Guying on contract, Fee Simple camels name
Recorders office where contract is recorded Record number Page
ASSESSOR ONLY
TRUETA�VALUE
ASSESSED VALUE
PROPERTY
NON-RESIDENTIAL
Township Tadn cif town, t hip "
Parcel number
eg cnp' Is the property' Lion:
,2-F sal property ❑ Mobile Home (IC 6- 1.1 -7)
If any portion of the residential structure or the WrW not exceeding one (1) acre that immediately surrounds that stmt m is used to produce income, describe the use and portion
of the property utilized to produce income.
a� - /Z /— _ /oa
ASSESSOR ONLY
TRUETA�VALUE
ASSESSED VALUE
HOMESTEAD
NON-RESIDENTIAL
Homestead Valuation
or 43,000 for 2009 pay 2010 40,000 payable after 2012
-
AT 100% OF TTV
VALUE
VALUE -
Land not exceeding 1 (one) acre immediately
- - -
surrounding residential improvements.
(1)
Other land
I(2).
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
r � �
Residential improvements or Annually
M `-+ .r , fK
Assessed Mobile/ Manufactured Home
Garage
5 O
Other improvements
(6)
Total improvements (line 4 through lure 6)
(7)
Total value (line 3 plus fine 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed (month, day, yew
complete.
Verifying action - Signature of Auditor
Date signed (nnonIh• day. year)
sTANbARD
20 _ 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
or 43,000 for 2009 pay 2010 40,000 payable after 2012
-
Signature of Auditor
to signed (month, day, year)