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Home My WebLink AboutHomestead_WinklerCLAIM FOR HOMESTEAD PROPERTY TAX #g' Y�R n CREDIT /STANDARD DEDUCTION & Slate Fonn 5473 (R8 / 7 -07) i • '� Prescribed by the Department of Local Government Finance NOV G n ` J M8 INSTRUCTIONS, See reverse side for filing instructions. IY U n /2 c a. ly�� GI ON COUNT t da SJWF . zo_ I (We) �/l± �L /_� / J centi that on the is I (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed: 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. Parcel number � .r Is the property in question: 4- 14 A e / I ❑ Real prop If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to at the property ubbsad to produce income. a6, - IV- /9- /b! - 0 v0.Sa9 -o0 7 S. Mobile Home (IC 6- 1.1 -7) income, describe the use and portion y".— PROPERTY, OWNED. BY CLAIMANT I INOTHER'.COUNTIESi - -� - County Township above statements _ . . EMU Land not exceeding 1 (one) acre immediately ` - = ..r surrounding residential improvements. Other land (2) . Total land (line 1 plus line 2) (3) O :1 Residential improvements or Annually Dwelh 4 Assessed Mobile I Manufactured Home - - Garage (5) Other improvements (6) Trial improvements (line 4 through line 6) (7) Total value (line 3 plus line 7) (8) 1 hereby certify the above is true, correct, and Signature of Assessor Date signed (month, day, year) complete. Verifying action - Signature of Auditor Date signed (month, day. year) • - e _ pay 20 _ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011 Lesser of 112 44.000 for 2008 pay 2009 41,000 for 2011 pay 2012 Homestead Valuation $ W 43,000 for 2009 pay 2010 40.000 payable after 2012 Signature of Auditor Date signed (month, day, year) • - e _ pay 20 _ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011 Lesser of 112 44.000 for 2008 pay 2009 41,000 for 2011 pay 2012 Homestead Valuation $ W 43,000 for 2009 pay 2010 40.000 payable after 2012 Signature of Auditor Date signed (month, day, year)