HomeMy WebLinkAboutHomestead_Carter (8)CLAIM FOR HOMESTEAD PROPERTY TAX
- CREDIT/STANDARD DEDUCTION
` - ` &ale Fortn Sd73 (RB! 7-07)
arescnbed by u,e oePanmem of i,e4aif{aQcqment Finance
INSTRUCTIONS: See /everse side
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�u� o g �cus
� (We) `� �/ certif(d1�8QNIfeO��of �F�KG?�_
I(VJe) o ed as o prin � place of residence tlte tdlovring described real property for which a Homesteatl Pmperty Tmc Credit is hereby dtimed:
�� I(We) owned ❑ Are buying under mntrad
Have a beneficial interest in the entiry ihal is IiaWe fw the property tazes on the property and that owns the property or is buying under a contraG.
If buying on conVacL Fee Simple rnmera name
Recadefs of6ce where cmUad is recorded
Counry
Tamship
Ta�ing dislnq (cify,;apvn, tmmship)
Record number � Paga
Parcel number L al description .��O3 A G Is Ne �n uestion:
a�m a
/ (� .S l 3 - 3 - / / ❑ R�� wocam- ❑ Mobile Home (IC 61.7-n
It any portion of Ure residerNal svucture a ihe Wnd not enceedirg orie (t ) acre Ihat imm�atey surtounds Ihal suucture is used In pioduce inwme, descnbe ihe uu and pwtbn
of Ihe property uliGZatl tn produce inmme.
oZ�-/�-/,j -�O/-DO/. �-O��
850
,_ , . . .. . .
,,...
Landnotexceedirgt(orre)acreimmediatery -"':--, �-_'-�. --•.-�'�-�"-
surtounding residential improvemenis. (�� ,, f 2� -� � -
<:<l,-- '
O�her land �2) � t' ' j '` -
Tdal land (line 1 plus line 2) �g�
- s�=� t: , � -
Residential improvements w Mnualty �ellirg (4)
Assessed Mobile / ManuhacRVed Home _ ?y
Gara9e (5) .: i-
t. _
�x ,- f �.. " _
Oiher unprovemenls (6) _ _ .-: j; _�!;; ..' ,�
..�.:�,;.; -
Tdal improvements (line 4 through line 6) �7�
TUaI value (line 3 plis Gire n (g�
I hereby certiy Me above is true, correct, and SignaWra of Assessor Date signed (month, tlay. yea�
complete.
Vaitying adion - SipnaWre of Auditor Date signed (mmih, tlay. yea�
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PeY Zo — 0.5.000 for 2007 pay 2008 42.000 for 2010 pay 2071
Lesser of 12 qq,000 for 2008 pay 2009 41.000 for 2011 pay 2012
Homestead Valuation 5
« 43,000 for 2009 pay 2010 40,000 payable after 2012
Signatura oF�tor Da�e signed (monN, Cay. yee�