Homestead_FlaniganCLAIM FOR HOMESTEAD PROPERTY TAX
-- � CREDIT/STANDARD DEDUCTION
` State Form 5473 (R8 ! 7-07)
,. � Prescnbed by Uie DepanmeM ot Local Govemmen� Finerroe
INSTRUCTIONS: See reverse side /or filing insLuc6ons.
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cerofy fhat on the 1 st day oi March, 20 •
e) o¢upied as our prindpal place of residence the fdbwing described real property f which a Homestead Property Tmc Credit is hereby daimed:
I(We) owned ❑ Are buying under contrad
Have a benefiaal interest in the entiry that is liable for the property taxes on the property and fhat owns fhe property w is buying under a contrad.
I1 birying om m�vact, Fee Simple ownels tmme
Recortlele a1Gce where contraa is recortled
Caunry
fownship)
Record number � Paga
Parcd number L al descriplion !`E • 9(i 3 I¢ � Is Ihe prc�Srty in question:
�r A1E n�E �o - o? -// ❑ R�� oro KY ❑ MdNle Fbme (IC 61.7-7)
If a�ry paUOn of ttre residerrtial struUUra or Ne Wnd nd exceedirg one (1) acre Ihat immedialely wnwntls Ihal stnicWre is used b pmduce Incortre, describa the use and portion
of Ihe property uUGZed b pioduce inoome.
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land not ex�rg 1(orre) acre immediatety � ,u r` �'4.3, .�` .';`'•
surtoundingresidentialimprovements. � � _ ',-�-:.e;.�x.<�'r1,`:?=;r"-';��.:�.'
ONerWrW - ,.,r „',.,`k
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TUaI Wnd (line 1 plus line 2) �3�
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Dw016�9 (4) :Z.�t�.%.�' -.U��_.':n��i::'
ResdentialimprovementswMnualy - ,-��r;��.��x:�. �,;<;...--,�.-
As52s5EdMd%lEIM3nt!(3Chl2dHOrtlO r.rf L�vLr'" Y V�. : �+�i-
Garage �g� .-YC� ' . .'r-,a .- a. _� ,1..
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�alBf iR1PfOV2R1Ef1i5 �6) �,.t ';� �' .
TUaI improvements (/ine 4 through line 6) (7)
Tofal value (line 3 p!'s Grre � (g�
I heBby certify Me above is We, correCt, and SignaWre otAsussor Date signed (monfh, day, yea�
wmplete.
Veritying edion - SiproWre dAUtlibr Date signed (mm1h. day, yea�
20 _ pay 20 _
lesser M 12
Homestead VAuation
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45,000 tor 2007 pay 2008 42,000 for 2010 pay 2011
44,000 tor 2008 pay 2009 41.000 for 2011 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2012
S'gnsa,re or a,alm, . � oate signed prxa�m. aar. r��