HomeMy WebLinkAboutHomestead_Williams (10)�' CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
. ' CREDIT/STANDARD DEDUCTION HC�o
State Fortn 5673 (RB ( 7-07)
� ,. `� Rescnbed by Iha Departmenl of Local Gavemment Finance
INSTRUCTIONS: See revarse side /or filing insWctions.
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residence tlie folbwing descnbed real property for
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`_ certify that on the 1 st day of March, 20_
a Homestead Property Tac Credit is hereby daimed:
I(We) owned ❑ Are buying under contraG
Have a benefidal interes� in the enfiry ihat is IiaWe fa the property taues on ihe property and that owns the property or is buying under a contrad.
If Grying on oonUaq, Fee Simpie o�mefs rmme
Recordefs ot4ce where conUaq is recorded
Counry Toxnship
dislrici (cify, Mtm, fmmsNP)
Recwd number � Page
��p ��_'OI ^— Le9a������� I ls Ihe O�^R� a perty ❑ Mobile Home (IC 61.7-� ..
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portwn of the resqerNal sWdure or Ihe WrM nIX exceedirg one (1) acre Ihat im iatey surrounds Ihat sUUCture is used to produce Inwme, describe the use and ponbn
P�PeM uliGzed Io produce inmme.
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Land not ex�rg 1(one) acre immediately ���'-
surtoundingresidentialimprovements. (�� � � `'�;� � 4��
Ofher WrW (2) � r :�.°`� -
Tdal land (I'vie 1 plus line 2) �g)
r 5
ResidentialimprovementsorMnualy ��ling (4) ' � > '` �� -
Assessed Mobile / ManufaGUred Home � .'� -
Garage �5� . , _y.,. -"., . .
Other improvements (5) � _
Tdal improvements (line 4 fhiough line 6) �7�
rarai vewe (�ine 3 p��a r�re � �e�
I hereby Ce(tify the above is We, corred, and SigneWre ofAssessor Date signed (monN, tlay, year)
comptete.
veifyirg adion - Sqnawre of �lor Date signed (mon1A, daY Y��
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PaY 20 — 45.000 for 2007 pay 2008 42.000 for 2010 pay 2017
Lesser o( 72 dq.ppp tor 2008 paY
Homestead ValuaSon PeY 2009 41,000 tor 2017 2072 �
« 43,000 tor 2009 pay 2010 40,000 payable after 2012
SignaNrB of �tor Dale s9netl (rtronfh. daY. Year)