Homestead_KruseCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
` State Fam 5073 (R817-07)
` Rescnbed by Ihe Departmerd of Lazl Grnemment Finance
INSTRUCTIONS: See revarse srde /or frling instiuctions.
� FORM YEAR
HC10
�
i(we> (�
the properry or is buying under a contract.
If hvye�g om m�Vaa, Fee Simpe o.mefs imme
oi6ce whera conUad is recorded
Twmship
Legal descnplim
Taring dislrict (cify, town,
Is Ne
a �-17- 1 �-�3w-(-i�YJ(�G,-l�LS I
If arry portion oi the residential suucture or ihe Wnd na ezceetlirg one (7) acre Ihat immetliatey sureounds Ihat
of Ne property uU5zed b pmduce inmme.
Record numbar � Page
Ym �9��Uon: •
LFeai P�PaM ❑ Mobile Home (IC 61.1-7)
:tura is used b protluce Mmme, describe Ihe use ard pMbn
�_ � � • .� � �
ti'. �
LarM not exceedirg 1(orre) acre irrmediatery � r rE'��';;%� �.{.:-?;�;: .-''"-=
surroundi residential im vements. (�) . ` " �>^'. �::�;s::., _r;� :...: _
n9 Pro :?, .u;.� _ -
OUter IaM � _ � �'� �'•s f-�+�• - '
(Z) y.,, <�.-�_z�.:, `;
Tdal land (line 1 plus fine 2) (g�
r
� r:-_ i i . A : :
Residential impravements or Mnualy ��i� �4) ' "� .4 � � : ` , _. �' `
Assessed Nbbik I Manu(xWred Home .- ;,
Garage �5) , ..
.,` � �;r
Other "unprovements (8) . . - - �
TUaI improvements (line 4 through line 6) �7�
Total value (line 3 pljs Grte n �g�
I hereby certify tlte above is We, correCt, and Signawre ofPSSessa Date signed (month, day, year)
complete.
Verifyi�9 adion - SipnaWre M�tcr Date signed (mmN, daY. yea�)
ZO PaY Z� — 45.000 tor 2007 pay 2008 42.000 for 207 0 pay 2011
Lesser of 1 R qq.000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead ValuaCOn S
a � 43,000 for 2009 pay 2010 40,000 payable aRer 2012