HomeMy WebLinkAboutHomestead_BresnahanCLAIM FOR HOMESTEAD PROPERTY TAX YEAR
CREDIT /STANDARD DEDUCTION HCRO
State Form 5473 (R8 17-07)
%•�. Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions. NOV 10
I (We) certify that on the 1 sRay of pf1�1,a_
I (We) occupied as our principal place of residence the following described real property for which a Homestead P0*fkrq*C&0 here by 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 awns the property or is buying under a contact.
If buying on conuam, Fee Simple owners name
where contract is recorded
number
Tavnship
(city, toyin, township)
the
Record number I Page
i 5` `/� 11)e 3( - a -la I e ty ❑ Mobile Home (IC Gt. f -N
It arty portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that Mn..' .. re used b producovrcome, describe the use and portion
of the property W fized to produce income.
o?�- /b - 3G- o3oa_O6 3.00 %Ua -/
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
'
Other land
(2)
,
Total land (line 1 plus line 2)
(3)
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Dwelling
(4)
- '
Garage
(5)
I - '
'
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus fine 7)
(8)
1 hereby certify the above is true, coned, and
complete.
Signature of Assessor
Date signed (month, day, year)
Verifying action - Signature of Auditor
Date signed (month• day. year)
pay 20 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 112 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)