HomeMy WebLinkAboutHomestead_Jones (6)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
` S Slate Form 5473 (R8 / 7 -07)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS. See reverse side for filing instructions.
MAY 2 7 NO
I (We) certi{v(;tthpatt (olnNth�er1{us{ day otWarch, 20
t (We) pied as our principal place of res' ce the o1ng described real property for which a Homestead- Pibp €rty T�CCiYi�iia9�aimed:
rI e) 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
CONTRACT •-r r
If buying on centraa Fee Simple owners name
Recorders office where contract is recorded Record number Page
County
PROPERTY
Township
DESCRIPTION
Taring strict y, tpwn, towns '
rj-e ib
Parcel number
Legal description
Is the property in uestlon:
AT 100% OF TTV
I Real property ❑ Mobile Home (IC 6-1- 1-7)
If arry portion ressidsmial structure or the WrW not exceeding one (1) acre that
immediately surrounds that m is used to produce income, describe the use and portion
of the property b produce inoome.
a'K- 6//_ a3 -,3aa -boo.
County
I hereby certify the above statements are true, correct and complete.
ASSESSOR ONLY
ASSESSED VALUE
HOMESTEAD
AT 100% OF TTV
VALUE
VALUE
Land not exceeding 1 (one) aae immediatety
surrounding residential improvements.
(1)
Other land
(2)
Trial land (line 1 plus fine 2)
(3)
Residential improvements or Annually
Dwelling
(4)
;��rs �g� ±a�t1•�z^xi�3'~:. -.ry --
Assessed Mobile / Manufactured Home
Garage
2% '.
Other improvements
(6)
`� -�•r
TUal improvements (line 4 through line 6)
(7)
Total value (line 3 phs fine 7)
(8)
1 hereby certity the above is true, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Vedlyirg action - Signature m motor
Date signed (month, day. year)
20 _ pay 20 _ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 1f2 OI')0 for 2008
44, pay 2009 41,000 for 2011 pay 2012
Homestead Valuati on
S
a 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature of Auditor
Date signed (month, day, year)