Homestead_Compton (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R8/7-07)
nn Prescribed by the Department of Lore) Government Finance
INSTRUCTIONS: See reverse side forfiling instructions.
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a) '— certify that on the 1st day of March, 20_
'e) occupied as our principal place of residence the following descnbed real p rty 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.
CONTRACT • -r r
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
County
PROPERTY DESCRIPTION
Township Taxing district (city, town, township)
Parcel number
Legal description
Is the pro"— in question:
-1 %- 9 - Y0o - QQQ. A -10
;_ Real ❑ Mobile Home (IC 61.1 -7)
If any portion of the residential structure or the tal not exceeding one (1) acre that immediately surrounds that structure is used to produce Income, describe the use and portion
of the property W Gznd to produce income.
99.
01 Ij
Township
I hereby certify the above statements are true, correct and complete.
state, and
County
ASSESSOR USE ONLY
TRUE TAX VALUE
ASSESSED VALUE
140MESTEAD
NON-RESIDENTIAL
AT 100% OF TTV
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
.fir
Total land (line 1 plus rare 2)
(3)
Residential improvements or Annually
Dwelling
D
(4)
1 '�• 'M
Assessed Mobile I Manufactured Home
Garage
5
r'u�+ x.¢
Other improvements
(6)
'Y t`�`2-
x .o el
Total improvements (line 4 through fine 6)
(7)
Total value (line 3 plus Gne 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Auditor
Date signed (month. day. yeari
° -i _pay 20_
Lesser of 12
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 S
43,000 for 2009 pay 2010 40,000 payable after 2012
Date signed (month. day, year)