Mobile Home_Thomas CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
1 CREDIT/STANDARD DEDUCTION
(` Slate Fonn 5473(R8!7-07)cFILE-1,
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Prescribed by the Department of Local Government Finance
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•
If buying on contract,Fee Simple owner's name
Recorder's office where contrail is recorded Record number Page
" PROPERTY DESCRIPTION - _
County Township - Taxing district(city,town,township)
076.1/9.0-oa/8..)- - 0 0
Pam eJBumber Legal description Is the property in question:
0 �T
0 Real property obile Home(IC 6.1.1-0
If any 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.
4:dicp
t Qe2 maw
. . . • PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES .
County Township County Township
I hereby certify the above statements are true,correct and complete. i9 d"r ai
ss(number and street city,state.and ZIP code)
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Q �1�%/i2a• S MA4r C7 Jr?aaa,C A \ 1
z I I ASSESSED VALUE I HOMESTEAD I NON-RESIDENTIAL
ASSESSOR USE ONLY _ 1 TRUE TAX VALUE AT 100%OF TTV I VALUE I VALUE
.v- z .cagy w.-nT-:-;!.,a..a Land not exceeding 1 (one) zee immediately (1) (.t d p-_ tom.- ,, '" .!.
surrounding residential improvements. V :.;y.;-.:r,�-.a--,-i11
Other land • (2) .(_ €LF' .rWq' '
Total land(line 1 plus line 2) (3)
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Residential improvements or Annually Dwelling (4) :' t ?; -%..?',.F. ,^r';__-.:
Assessed Mobile/Manufactured Home
Garage (5)
Other improvements (6) -
Total improvements(line 4 through line 6) (7)
Total value (line 3 pits line 7) (8)
I hereby certify the above is true,correct,and Signature of Assessor Date signed(month,day,year)
complete.
Verifying action-Signature of Auditor \, ` ` \"`I I/ `^ �s Date signed(month,day,year)
H\ \ dh lI
. - STAI WARD DEDUCTION ALLOWANCE • ..
�_pay 20_ 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 1/2 44,000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation $
or 43,000 for 2009 pay 2010 40,000 payable after 2012 .
Signature of Audtorn0�" Dale signed(month,day.year)