Homestead_Davis (14)CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
k CREDIT /STANDARD DEDUCTION HCto
` ! State Form 5473 (8817 -07)
Prescribed try the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
I (we) jam) VJ
certify that on the 1st day of March, 20_
1 (We) occupied as our principal place of 1dence the following described real property for which a Homestead Fd42VIIX Tar Credit is hereby claimed:
EI (We) owned ❑ Are buying under contract o V IL
Have a beneficial interest in the entity that is liable for the property taxes on the property and that awns the pe jr in underC.
CONTRACT •••
If buying on contract, Fee Simple owners name
Reorders office where contract is recorded 42Ai (/ Page
fy AUDIT
Goon Tomship Taring distr (AA, t hi
�Cllu I lr r� L y desc� `g j Is the pr in goes
4OD- I \teal property a Home (IC 61.1 -7)
If any portion or the residential structure or the land not exceeding one (1) awe that immediately surrounds that stiucture is used to produce income, descnbe the use and portion
of the property utilized to produce income.
'ASSESSOR
STANDARD DEDUCTION ALLOWANCE
-20 _ pay 20 _ 45,000 for 2007 pay 2008
42,000 for 2010 pay 2011
d
AT. 1.00% OFTTyVI
41,000 for 2011 pay 2012
$
Land not exceeding 1 (one) acre immediately
a 43,000 for 2009 pay 2010
40,000 payable after 2012
surrounding residential improvements.
O...
Date_s "g9@tl (man day, yyQd
Other land
(2)
Total land (line 1 plus line 2)
(8)
Dwelling
(4)
P ?:r
Residential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through Line 6)
(7)
Total vatue (line 3 plus Ana 7)
(8)
1 hereby car* the above is true, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Auditor
Date signed (menlh, day, year)
STANDARD DEDUCTION ALLOWANCE
-20 _ pay 20 _ 45,000 for 2007 pay 2008
42,000 for 2010 pay 2011
Lesser of 1 f2
Homestead Valuation 44 000 for 2008 pay 2009
41,000 for 2011 pay 2012
$
a 43,000 for 2009 pay 2010
40,000 payable after 2012
a e of
O...
Date_s "g9@tl (man day, yyQd