HomeMy WebLinkAboutHomestead_Wise (2)° CLAIM FOR HOMESTEAD PROPERTY TAX � YEAR
t CREDIT/STANDARD DEDUCTION FoRM
State Form 5473 (RB / 7-07) HC10
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Prnscnbed by Ihe DepartmeM af Local Govemment F'uunce
lNSTRUCTIONS: See raosrse side !o� filing ins6ucSons.
_ y
� M'e) , - ceruhfy Ihat n e' ot March, 20_
I(We) occupied as our prindpal qace of residence tl�e to 'ng described real property fw which a meste�aA �erty Tac Credi[ is hereby daimed:
n i�we� �ea ❑ Are buying under mntraU pEC 2 9 200g
,Have a benefidal interest in ihe entity ihat is IiaWe fw Ne property lazes on the property and that owns the property or is buying under a contract.
If W�vig on canVa0. Fee Simpe wmefa name
Recadera otfice whare wntraa is recartled
Camry Townsltip
Parcel number
If arry portion oi the residarNal slludura w ihe IaM not
al t�e properry WGzed b pmduce inmma.
a � - i�- oq_doo -
Record numDer � Page
Tanng tlistrict (cify, to.m.
Is 1ha�lioperty in questio
�% �� � ❑ Real rty ❑ Mohile Fiome (IC 6-1. f-n
(1) acre Ihat immediately wrtounds 1ha� stnicture is used to produce Income, describe Ure use aM portion
oo� 8 a 3-o a/
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. . .. . .
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Land not ex� 1 orre aae immediate ';_,:s..::., --:,��.;'.� .:....... ... ..
�9 ( ) h ��� . .a:- _ S.":'., . ,
surrounding residential improvemenfs. - -
Other land (z� -
Tdal IarM (I'me 1 plus line 2) (g�
Dwelling (4) '� ' -��.1 i>.;-�.
Resdential "unprovements or Mnually ,�� � �
Assessed Mobile / ManufaUured Hane '=-:-y. - . .
c.;�d : � . �''
Garage (5� - - � .
Other'rcn{xovements (8) 't° �!:�- . -
Tctal improvements (fine 4 fhrough Gne 6) (7�
Tcfal value (line 3 phs lirre n �g�
I he2by certify Ne abOVe i5 We, cwrect, erW SignaWre ofASSessa Date signed (mmN. tlay, yea�
complete.
Vaifyirg adian - SipnaWre MAUditor pate signed (mon/A, day. yea�
�.•� � � • •
pay 20 _ 45 ppp {or 2007 pay 2008 42,000 for 2010 pay 2071
Lesser M 12 qq.000 for 2008 pay 2009 41.000 for 2011 pay 2012
Homestead Valuation S
a 43,000 for 2009 pay 2010 40,000 payable after 2012
Signature oflwdita Date signed (manth, eaY•Y��
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