HomeMy WebLinkAboutHomestead_Bottoms (2)CLAIM FOR HOMESTEAD PROPERTY TAX �M� R
CREDIT /STANDARD DEDUCTION u
` State Form 5473 (R817 -07)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions. JUN 4 2008 /�
I (We) Y� /� `f�.C.c -� �/1 7' certify thaG8W0DbGWbrMa&U..WOR
1 (We) occupied as our princi I place of resider a 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.
dOhTRACTRECOkDED
K buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
County
Township
I hereby certify the above statements are true, correct and complete.
County
Township
ASSESSOR USE ONLY
TRUE TAX VALUE
ASSESSED
PROPERTY DESCRIPTION.
County
Township
Taxing isWd (city, town, township)
Parcel number
[List descdpt an
_ Is the property in question:
❑ Real property ❑ Mobile Home (IC 61.1 -7)
If arty portion of the residential structure or the land not exceeding (1),acre that immediately surrounds that sbWure is used to produce income, describe the use and portion
aF the property utilized to produce income. 0 e'
(1)
County
Township
I hereby certify the above statements are true, correct and complete.
County
Township
ASSESSOR USE ONLY
TRUE TAX VALUE
ASSESSED
Land not exceeding 1 (one) acre immediately
' 7 `
surrounding residential improvements.
(1)
-' - -
Other land
(2)
Total land (line 1 plus line 2)
(3)
Residential improvements or Annually
nually
(4)
- -
- "
Assessed Mobile I Manufactured Home
Garage
Other improvements
(6)
- - ,J • .
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus lure 7)
(8)
1 hereby certify the above is true. correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Vailyirg action - Signature of Auditor
Date signed (month, day. year)
20_pay 20_
Lesser of 112
Homestead Valuation
or
Signature of Auditor
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2011 pay 2012 3
43,000 for 2009 pay 2010 40,000 payable after 2012
Date signed