Form Hc10 - Claim For Homestead Property Tax Credit/standard Deduction July 2007
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1
2CLAIM FOR HOMESTEAD PROPERTY TAX
YEAR
FORM
CREDIT/STANDARD DEDUCTION
HC10
State Form 5473 (R8 / 7-07)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
I (We) ______________________________________________________________________________ certify that on the 1st day of March, 20____
I (We) occupied as our principal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
I (We) owned
Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
CONTRACT RECORDED
If buying on contract, Fee Simple owner's name
Recorder's office where contract is recorded
Record number
Page
PROPERTY DESCRIPTION
Taxing district (city, town, township)
County
Township
Parcel number
Legal description
Is the property in question:
Real property
Mobile Home (IC 6-1.1-7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
Signature of claimant
I hereby certify the above statements are true, correct and complete.
Address (number and street, city, state, and ZIP code)
TRUE TAX VALUE ASSESSED VALUE
NON-RESIDENTIAL
HOMESTEAD
ASSESSOR USE ONLY
AT 100% OF TTV
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
(1)
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Assessed Mobile / Manufactured Home
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed (month, day, year)
complete.
Verifying action - Signature of Auditor
Date signed (month, day, year)
STANDARD DEDUCTION ALLOWANCE
20 ____ pay 20 ____
45,000 for 2007 pay 2008
42,000 for 2010 pay 2011
Lesser of 1/2
44,000 for 2008 pay 2009
41,000 for 2011 pay 2012
$
Homestead Valuation
43,000 for 2009 pay 2010
40,000 payable after 2012
or
Signature of Auditor
Date signed (month, day, year)
RECEIPT FOR APPLICATION FOR HOMESTEAD CREDIT
Name of claimant
Township
Description of property; county
Parcel number
Legal description
Date signed (month, day, year)
Signature of Auditor
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