HomeMy WebLinkAboutHomestead_Williams (2)CLAIM FOR HOMESTEAD PROPERTY TAX
_ STANDARD / SUPPLEMENTAL DEDUCTION
f Shate Form 5473 (R13 / 12-09)
t � Presaibed by tha Department of Locel Gwemment Finance
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INSTRUCTIONS: See reverse side for filing insLUCtions.
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�(yye) certi(y that I I����J
place of residence or am (are) buying the fo ' g described real property fw which a Homesiead Property Tax Siandard Dedudio� i
er contract on the date ihis applintion is filed, (date o1 filing). I(We):
Own ❑ Am (are) buying under recorded conVeIX
� Am (are) entitled to occupy as a tenanPStockholder of a coopereUVe housing corporation
❑ Have a beneficial interest in Ne wst or ihe right to ocwpy tha property under ihe tertns of e qualified personal residence wst
❑ Am (are) the shareholder, partner or member of the entlty lhat owns tha property.
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ONr��"wS:�ita iz; =1K P.G_ �sw�.� +.tF<`F'iN '> st�c
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] Rea� D�P�Y �--� AnnuauY asse
[ha[ SWUwa is used to ProOu�e i�ane.
20 _ pay 20 _ Lesser of 60% of the essessed value of ihe homestead or 545,000
NoMilh5fan0ing any o(her pmvision, tha s�m ol Ne deductbns provitled in IC 8-1.1-72 fo a rtod7e hane Naf is $
not assessad as real popeRy w to a menufeCUied home tliat is not essessed es real property maY rrot erceed
one�hatl (iR) N Ne assassW ralua W the mo67a Mme wmamdadured home.
Signa¢rte allwditor
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Toxmship
mob0e hortm (IC &7.7-n
iba Ihe use and po`UOn
Date sip�tl (monlh, deY. Y��i
Date si9red (rtwnN, daY• Yaa�)
Date signed (monfh.