HomeMy WebLinkAboutHomestead_Wilzbacher (4)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 54731R6 / 403)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
I (we) y
4A i 4 V, n the 1st day of March. 20
I (Welact-upied as r principal residence the foilowi described real property for whit Homestead Property Credit is hereby claimed:
l(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.
FORM YEAR
HC10
If buying on contract. Fee Simple owner's name
contract is recorded
T
County
Township
Taxing dirt' ci to I
^-111
Legal description
11 the property in question:
" I T6 EQ (
1
❑ Mobile HMO (I.C. 6-1.1-7)
If an 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.
Fill
INS"i
County
Township
County ITownship
5�- ��NON�RESIDENTIAU 4-4kt
I
I hereby certify the above statements are true, correct and complete.
Si f clahnant tdA
A4"
I Address (number and street city state," U
Fill
INS"i
; TRUE-TAX
7"'Tirk
'` Ai
iI6
-�Dqq'��O
�.-;HOMESTEAID
5�- ��NON�RESIDENTIAU 4-4kt
M--VAEt:
_F;TzW
Signature of Ajjdftw Date signed
Land not exceeding 1 (one) acre immediately
IN
surrounding residential improvements.
Other land
(2)
e
-' =905
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential Improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
Z
Other improvements
(6)
34
Total 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
complete.
I
Verifying action - Signature of Auditor
Date signed
-MSTANDARb.DEDUCTIONIALLLOWANCE�;, ?Z"RW�,` 2Lw�
IW 20 _ Pay 20
Lesser of 112 Homestead
valuation or 535.000
Signature of Ajjdftw Date signed