HomeMy WebLinkAboutHomestead_FulcherCLAIM FOR HOMESTEAD PROPERTY TAX ��� � oR YEAR
CREDIT/STANDARD DEDUCTION HCt
`� ' 1 S7ate Fortn 5473 (R8l 7-07) , 1�
�. Prescnbed by �ha Departmerrt of Lotal Govemment Finance �� .
INSTRUCTIONS: See reosrse side /o� filing instnictions. �� P R 1 4 2009
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' �"e> Q��. `�($��`B�Pa�� 8�i�n. zo— �
I(We) occupied as our prinapal place of residence the folbwing described real property for which a H es a mperty mc Credit is hereby daimed:
�I(We) owned ❑ Are buying under contract
� Have a benefidal interest in the entiry Mat is IiaWe for the property taxes on the property and that owns ihe property or is buying under a contract.
If W�vig on wnVaG, Fea Simpe ownels rome
Recaders office where caniract is recortled
County � TawnaFtip
Pam.d
dMion of ihe residernial sUuqure a Ihe land na exceeding one (7 ) ecre Ihat
P�W�nY utiGZed tn Produce incortte.
c�G - i 4-�9, /a 3-��. � � �-aa�
Record number � Pape
town, fownship)
Ihe property
�� �Real property ❑ Mobile Home (IC 6-1.7-n
wrmunds ihat stnicwre is used le protluce incortre, describe ihe usa ard ponbn
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Land not ex�ng 7(one) ave irtvnediatey . y° �+:„ !�°a-< "x �; i
surroundirg residential improvements. ��� " - �; � �x,��.y � ,,,��;.;
_ -. .... _.-. .. .
Other land �2� . -' r:_ rti �.:
.t, -;i..
Tdal land (1'me 1 plus 6ne � �3)
r
Dwellin9 (4) � �� � Ti� i;�, � �.-�' ��_
ResidentialimprovementswMnuaily =' z f:c,., -����>'
lttsessed MoMle / Manufachued Hort�e - - � �•�v � , .e.
Ga2ge �5) ;-� p� ', :
ONer improvemenfs (6) � .. .
Tdal improvements Qine 4 through line 6) �7�
Tafal value (line 3 pl's lirre � �g�
111Bfiby CBt6fy Cle abOVe i5 We. GORBd. 8fld SignaWre of0.ssessor pale signed (mnN. day.Year)
complete.
veitying action - Sqnature oflwdibr Date signed (manih. daY• Y�)
� �.-� � � � �
Zb pay 20 _ qs.ppp for 2007 pay 2008 42.000 for 2010 pay 2071 - -
Lesser of 72 qq ppp for 2008
Homestead Valua6m P�Y 2009 4� •000 for 2017 pay 2012 �
w 43,000 for 2009 pay 2010 40,000 payable after 2012 �--
SignaNre oFlwditor Dafe signad (monlh. daY.Y��
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