HomeMy WebLinkAboutHomestead_McCandlessCLAIM FOR HOMESTEAD PROPERTY TAX
>. • �' CREDIT /STANDARD DEDUCTION
State Form 5473 (R817 -07)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
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SEP 1 0 2008
I (We) 6,4J IT r* /IY� CdAlQt�O�cerhiyl @taf°n fhOe 1stTday oVFl5cltR 20
1 (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 contact.
Pamel number Legal descdption yrf I Is the property in question:
1 �IQ �J. �jJ, �' r"4 11 ❑ Real property ❑ Mobile Home (IC 6- 1.1 -7)
If any portion of the residential structure or the land not exceeding or14 (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
Ljo/ -000. 6Y3 -oo f
cv _ 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 $
or 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor Date signed (month, day, year)
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements or Annually
Dwelling
(4)
_
:' - • - ,
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total vatue (line 3 plus line 7)
(8)
1 Hereby certify the above is We, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Auditor
Date signed (month, day, year)
cv _ 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 $
or 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor Date signed (month, day, year)