Homestead_TuckerCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT/STANDARD DEDUCTION HC10
State Form 5473 IRS / 10-01)
Prescribed by the Department of Local Government Finance
. . . .. . . . . .
1 (we) dD UA94k.– MAAUI fy that o Istd March. 20—
I (We) occupied as our principal place of residence the following described real property for which a HornesOlprope by claimed:
ii�' I �(We) owned ❑ Are buying under contract
dwave a beneficial interest in the entity that is liable for the property taxes on the property and that owns th.4Lparty_t�Cis–,4yiuqgpder, jqntt;t.
NTRACTRECORDED_
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Rewrd number Page
-0,ROOERTY.'btSdRfOTi(jN'*e.��-
County
Township
Tadn
rict jc0
oft Atownship)
crmi,5 16 0
Legal description Is the property i q estion
ID21 Property ❑ Mobile Home (I.C. 61.1 -7)
If any portion of the residential structure or the land not exceeding we (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
989'k i*&' –49F—VV,,vPFfdOEiiTYdW-N-EDIBYCL'AIM–Aktlk'6THE '66UNTIES_
County
Township
County Township
I hereby ce e, correct and complete.
Pgnpye of claima
C7.0, Jot.
'04 14V <6 00,Vd OJV loU - y70& 0
*j/ D(n rn�a,nd street, city, sl�, Zlj�)
%A
-.'STANDARD: DEDUCTION AILLOWANCE,',,;.�TP;,"_3 a!ttk
20_ Pay 2O_
Lesser of 1/2 Homestead
Valuation or $6.000
Signature of Auditor Date signed
�.g.TRUE-TAx.,I'.,4,W
ASSESSED
A
HOMESTEAD -"
t' fflf,-�NONLRESIDENTIALNIVF.- I
-AT,'100%'OF;M_;
;%'�'"_-VALUEi__k
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
Tdal land (firre I plus line 2)
(3)
Dwelling
(4)
�; �"R V-
Residential improvements
ISU
Garage
(5)
afteR`.l WIWERO 0V
Other improvements
(6)
Total improvements (line 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
-.'STANDARD: DEDUCTION AILLOWANCE,',,;.�TP;,"_3 a!ttk
20_ Pay 2O_
Lesser of 1/2 Homestead
Valuation or $6.000
Signature of Auditor Date signed