Homestead County Claim Form #_ by wvd19904

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                                  TREASURER'S AFFIDAVIT

                    CERTIFICATE OF HOMESTEAD CREDIT CLAIMS
                  2008 CLAIMS, PAYABLE IN FISCAL YEAR 2009 - 2010



To the Iowa Department of Revenue:


I, ____________________ County Treasurer of _____________ County, Iowa, do hereby certify
that the information is true and represents a complete list of claims for Homestead Credits and
Disabled Military Credit as allowed by the Board of Supervisors. Certified to me by the County
Auditor; and that the total amount of dollars due for all taxing districts is
$__________________(100%); and that said amount has been computed in accordance with Code
of Iowa Chapter 425.

Rate of Reduction used: 27%

Actual amount of Homestead Tax Credit issued: (73%) $ _________________



_________________             ________________________________
Date                                County Treasurer


                  Mail to:    Iowa Department of Revenue
                              Homestead Credit Claims, JwG
                              PO Box 10465
                              Des Moines IA 50306-0465

                  Fax to: 515-281-3906
                  E-mail: Joel.Gabrielson@iowa.gov




(Make copies as needed)                                                      54-142 (7/22/09)

								
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