HomeMy WebLinkAboutHomestead_ElamanCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
a CREDIT /STANDARD DEDUCTION 0
Slate Form 5473 (R8 /7 -07)
Prescribed try the Department of Loral Government Finance
INSTRUCTIONS: See reverse side for filing instructions. A I. . . nnr.n
I (We) 6ZI14 — (td certify that on tt e i � of"ki� , 20_
I (We) occupied as our principal place of residence the following described real property for which a Homestead P16gE@15ytq{ted:
I (We) awned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes r n the property and that owns the property or is buying under a contract.
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded
County
—6LV3Z L"LVV'UW-1
If any portion of the residential structure or
of the Property utilized to produce income.
Record number I Page
Tamship I Taxing district (city, town, township)
description Is the property in question:
ND I ❑ Real property ❑ Mobile Home (IC 61.1 -7)
not exceeding one (1) acre that immediately surrounds that structure is used to produce income, descdbe the use and portion
Lu LI)
27 pay 20
Lesser of 1/2
Homestead Valuation
or
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
43,000 for 2009 pay 2010 40,000 payable after 2012
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Land not exceeding 1 (one) acre immediately
(1)
-' -
surroundingresidentlalimprovements.
Other land
(2)
Total land (line 1 plus fine 2)
(3)
Residential improvements or Annually
Dwelling
(4)
`: "
-
Assessed Mobile I Manufactured Home
Garage
(8)
- -
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Trial value (line 3 pl s fine 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
(Date signed (month. day, year)
complete.
Veilying action - Signature of Auditor
Date signed (month, day. year)
27 pay 20
Lesser of 1/2
Homestead Valuation
or
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
43,000 for 2009 pay 2010 40,000 payable after 2012
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