HomeMy WebLinkAboutHomestead_Higginson (2)CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
v4- CREDIT /STANDARD DEDUCTION HC10
State Form 5473 (8817 -07)
•� A.. `� Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for riling instructions.
1 (We) �L U.A—A �XXA em m�i on tl 1 day 0
1 (We) occupied as our principal place of residence f I wing described real property for which a Homestead Property Tax Credit is here y med
I (We) owned ❑ Are buying under contract SEP 1 2 2008
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.
If trying on contract, Fee Simple owners name
Recorders office where contract is recorded
Tonnship I Taxing district
Record number I Page
met number rI legal description /� the property in question: o b
t( -\ir11 '�Deal property ❑ Mobile Home (IC 6 -1.7 -7)
If arty portion of the residential structure or the land not exceeding one (1) acre that' ediately surrounds that structure is used to produce income. describe the use and portion
of the property utilized to produce income.
20 — pay 20 — 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser 44000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation , S
or - 43,000 for 2009 pay 2010 40,000 payable after 2012
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
-.
Residential improvements or Annually
, r
Assessed Mobile I Manufactured Home•
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is We, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verilpng action - Signature of Auditor
Date signed (month, day. year)
20 — pay 20 — 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser 44000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation , S
or - 43,000 for 2009 pay 2010 40,000 payable after 2012