HomeMy WebLinkAboutHomestead_Hudnall.� i
"'" CLAIM FOR HOMESTEAD PROPERTY TAX
S,._, STANDARD / SUPPLEMENTAL DEDUCTION
State Form 5473 (R72 / 6-09)
�O � Pmunbed by Me DeVaNrreM al Wcal Govertment Frerca .
INSTRUCTIONS: See reverse side !or filing instrucfions.
��� F M
�
FEB 1 6 2011
ca.+n.,-�—
YEAR
I(VJe) l�U/ � t/�W /��-I" cery{y jhyjY��.iipied as my (our) prindpal
place of residence or am (are) buying Ue tollowing escribed roperty tor which a Homestead Property Tax StaMard DeducUon is hereby daimed
under contraG on Ihe date ihis applintion is filed, (date o/filing):
❑ I(VJe) own ❑ Am (are) buying under recorded contract
❑ Am (are) enUUed to occupy as a tenant-stockholder of a wopere[ive housing wrporetion
� Have a beneflGal interest in the wst or the right to occupy the property under the terms ot a qualified pereonal residence Wst
at daimant (lasf five OigiGSJ �/�
of daima�rt' ss po/use (lest �rv¢ d�)
If buying on wntraq Fee Simple mmGs name
Reoortleh olfice Mfiere mntraG a remrEeC
�%��-!a� Ci� � al/ -oa� �
of Ne ����entlal strucWre ar Ne land nol exreedug me (7) aae Ihat
O�PeM utY¢eE to pfodufc inmme.
Township
I hereby certify the above statements are We, cortecl arM compiete.
Land not exceedlno 1
Othetlantl
Total lantl (line 1 plus line 2)
acre Immedialely
Resldentlal improvements or Mnually �elling
Assessetl Mobile I Manufachrted Home Garzge
Other improvemenb
Total Improvemenb (llne 4 Nroughline 6)
Total value (llne 3 pl�s line �
I hereby certify the above is We, cortect,
and complete.
Vadyi�g armn - Syriawre of fu�dtar -
(2)
(3)
(4)
(5)
n�
(8)
Sigruh�re of Assessw
Caunry
rown,
20 _ pay 20 _ Lesser of 60% ot ihe assessed value of Ne homestead or $45,000
_
NotwiNSfaritlug eny athe�plovision, Na wmW fhe deductions prondetl in IC &1.1-12 ro a mo6de home Nat u
not asse5se083 rBel plDpertyW (o a menulaUU/ed home Nat is rqf esseStBd as ieel poperty may nof exceetl
Isw"vg Sate��
Issuing Slate � `
N
Remd numha Page
question: . U _
ercy ❑ AnnuaAy assessed rtroWe hane (I 1. f-7)
ra is used m proCUm ixnne. Oesmba the use antl portion
$
TowrtsNp
Date signed (mmfi. daY. Y��
Date signeE (rtanN. daY. Y��
Data sgW !h �Y. YI��)
l —{ �