HomeMy WebLinkAboutHomestead_DruryCLAIM FOR HOMESTEAD PROPERT/TAX
CREDITISTANDARD DEDUCTION
State Form 503 (R6 / 6-03) .
Presaibed by Ne Department of local Govemment Finance �
�NSrRUCnoNS: see,��� �;de r��r,i�,�;,,�ea,s.
FORM �� �YEAR _
HC10 , I I
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I (VJe) L— . . . � . � • certify that �p,lh�1� d[,tipg,@RMarch. 20
I(We) occupied as o principal place of residence Ihe follo i 9 escribed real property for which a Homestead Prop ny T reau is�hereby daimed:
❑ I(We) owned ❑ Ne buying under wntract
`Have a benefidal interest in the entity that is liable for the property taxes on the property and that owns the
If 6uying on conUact, Fee SimO�o ownefs narne
RemMefs ofice whera contraq is recorded
Caunty
Tamship
P r number legal description
� -tl-Cf'i -3c�-txr3.9► oa-�
I( any poAion of Ne residenUal sW dure w Ne land nol exccedi
ot ihe property utilizeA to produce income.
County
Record number
Tacing <
a wnVact.
Page
�2 /1T Is the prope� in /qu�estion: �
��y(� ��� yv l_yBo21 DropeM ❑ Mobile Homo (I.Q 61.7-7)
aae Ihat immeCiately surrounds that sWUUre is used to produce income, describe the use and porUon
Coumy
I hereby cerG(y ihe above statements are W e, correcl and complete.
(numberand street, ciry, sfate, ZlPcode)
ol
>. ..�,,.,.T-�'+»' A.�, ` " +� Y?;� 'a'" 2' � :'�,�d6 � 'y- . .. r�, '" � - ° - � - - � . _ . . . �
a�����AS5ES50RUSEONLY -`"r'-�,.�y}i.�' �Ss TRIJETAX�'i-�� ASSESSEDVALUE � HOMIESTEAD�t �r�NON;RESIDENTUIL �
a.�i`a-ra�.�.:��R+,ect7�i-:+�tA_ � �'3�"�S`�'.s x`�i�+'.VALl1E�,:-t�.;� _ AL100%.OF�TfVk �eVALUE:� � ��VALUE�`� �r-�`
Land not exceeding 1(one) acre immediatety � ,}�€;y., _ �a��3fi
surrounding residential improvementa (� � ��� ' �44 „ �'�:��'�'
� )T.c !-._'�
Oiher land 2 x�'`-��'��'.`: '�,.fit
( ) ;�-i;>�a�,y;._- �c
�eca�as,:�:?;�
Tdal land (line 1 plus line 2) (3)
#• -'�.,r� .iu--: - - z+:i
Dwelling (4) '�`'°'�,=°�`L�"�+�'`-.`-�, � ''.�: n:.
+"is�l^ �
�ResidentialimprovemenLSOrMnualty ��:i�`�'��+�� �'�`"` ^>'���
Assessed Mobile / Manu(aclured Home Garage (5) �� -�t�� .- 'Y �-^•vi
�::r�+�''W¢E��'_ _. '�'�'� _r.�
"" � i�s`E;��r-" �'i�$;
Otherimprovements g .3 --�'�,�
1 ) t��.:4'-�,�'
Total improvements (line 4 fhrough line 6) (��
Tdal value (line 3 plia line n (8�
I hereby certi(y ihe above is We, correU, and Signature otassessor Date signea
complete.
Veilying action - SignaNre o(NiAimr Date signed
20_Pay20_
Lesser of 1/2 Homestead
vaweuon w 535.000
S
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