Homestead_DavisCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION Hcio
State Form 5473 (R8 / 7 -07)
nw Prescribed by the Department of Loral Govemment Finance
INSTRUCTIONS: See reverse side for filing instructions.
I (We) U . t 1 certify that cpn 1�� gf{,t�fch, 20_
I (We) occupied a r principal place of reside the following described real properly for which a Homestead Property Tax r d is ereby daimed:
`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 props or lyguying uf(dbr a contract.
CONTRACT • -•
If buying on contract Fee Simple owners name
Recorders office where contract is recorded Record number Page
PROPERTY OWNED BY CLAIMANT
IN OTHER COUNTIES
County
PROPERTY
Tamship Taring district (city, town, township)
Paul n ben _ _��
L al d nipplI;
I Is the property in question:
❑ Real property ❑ Mobile Home (IC 6-1.7 -7)
Harry 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.
PROPERTY OWNED BY CLAIMANT
IN OTHER COUNTIES
County To,nship
County Township
I hereby certify the above statements are true, correct and complete.
S awn ai M
- res um aryelteet ate, andj,(P rode) �—i/Y^ V7J747
F: w I VALUE,.
Ed
ASSESSOR USE ONLY TRUE TAX VALUE]
-
AT 100% OF TTV
VALUE
F: w I VALUE,.
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
Dwelling
(4)
Assessed Mobile I Manufactured Home
Garage
Other improvements
(6)-
-
Total improvements (fine 4 through line 6)
(7)
Trial value (line 3 plus fine 7)
(8)
1 hereby certify the above is true, Correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Arditor
Date signed (month, day. year)
STANDARD DEDUCTION ALLOWANCE,
Pay 20 — 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 12 44,000 for 2008 pay
Homestead Valuation pay 2009 41,000 for 2011 2012 $
a 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature M Auditor Date signed (month, day, yea,)