Homestead_BoydCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEaR
r, ! CREDIT /STANDARD DEDUCTION ,
State Form 5473 (R8 t 7 -07) �`I\
•. Prescrbed by the Department of Local Government Finance J
INSTRUCTIONS: See reverse side for riling instructions.
I (We) certify Nat onjstdaa,ch, 20
I (We) occupied s our principal place of residence the following described real prope or ich a Homestead l a( fl E CP2diTY AUDITm�
I (Ne) own ❑ Are buying under contract �U (;OUN OR
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.
If buying on contract, Fee Simple owner's name '
office where contract is recorded
Record number I Page
County Tormship Twin district (city, town, to-wnship)
Panel number I- al descri tion Is the property in ques8on:
2 eaI Property ❑ Mobile Home (IC 61.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
a 4n- / -7 -a I - a60 -00
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
loamr r •
(1)
-
Other land
(2)
- -
Tdal land (line 1 plus line 2)
(3)
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Dwelling
(4)
Garage
(5)i
Other improvements
(6)
Trial improvements (line 4 through line 6)
(7)
Total value (line 3 plus line T)
(8)
1 hereby certify the above is We, correct, and
complete.
Signature of Assessor
Date signed (mmth, day, year)
Verifying action - Signature of Auditor
Date signed (month, day. year)
20 pay 20
Lesser of 12
Homestead Valuation
W
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
day.