HomeMy WebLinkAboutHomestead_AlldredgeCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION Hc10
State Forth 5473 (R8I 7 -07)
� �w ! Prescribed 6y the Department of Loral Government Finance � T T
INS TRUCTIONS: See reverse side for filing instructions. le - 9 ®q�/.
I (We) certify that on the 1 st day of March, 20_
I (We) occupied as our princlpel a of residence the following d ribed real property for which a Homestead Pro"Tax Crelii}ja hereby claimed:
��''�,l (We) owned ❑ Are buying under contract GIBSONN O� •C3/J`(/fgI11 Tna
eve a beneficial interest in the enti that is liable for the property fazes on the is AVARto
ty pr p y property and that owns the property or is buying nfract.
If buying on contract, Fee Simple owners name
Recorders office where comracl is recorded Record number I Page
C @ounty [` .��/� TamsNp o�y� yy� (� Taring district (city, town, township)
F 1�1J• I D Lfl I�cnpu Y G 1 1►CJ .JrsL-'"1l) ?SA t— ❑ Real property ❑ Mobile Home (IC 6- 1.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that sbwWre is used to produce income. describe the use and portion
of the property utilized to produce income.
' r . - • r WENZIM
_ pay 20 _ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 12 44.000 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
Signature of Auditor Date signed (month, day, year)
rr•.
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
- -
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Trial 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)
' r . - • r WENZIM
_ pay 20 _ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 12 44.000 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
Signature of Auditor Date signed (month, day, year)