HomeMy WebLinkAboutHomestead_Dunn_ ' CLAIM. FOR HOMESTEAD FROPERTY TAX
CREDITISTANDARD DEOUCTION 1�-
♦ smce Fw,,, sa�a �RS i a-a3) G,
' Rdrribed by Ne Depertrnatrt of Locel Govemment Finance �\� �
INSTRUCTIONS: See ravarse side for (ling instructions.
FORM
p� HC10
��C'
YEAR
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°-.�-. _.` K.. .�.-y.2. , s.,a�i€?,+,aa+.:: _:. , r .-.;`.�ti._:u.+ � .':;:_ ..;. - .� . .,. � � :
I(We) l�%JAS�S```i �� s��rU �� � Q_ .:�_ a� � certify that on the tst day`of March, 20_
I(VJe) ocwpied es our prindpal placa of residence the following described real property for which a Homestead Property Tac Credit is hereby daimed:
�(We) amed ❑ !ve buying urWar contract
ave a beneficial interest in Ne enlity Nat is liable for Ne property taues on the property and lhat owns the property or is buying under a conVed.
iSS;.y's6.�nT����.."c �. ..>i�'F'�tC°...i•+�..;�s '��.-:- .->�CONTRACTRECOR�ED�.� - - - -- --
_- -, , .
.� -- , .. . �._ ,... .. :_. .......
If buyinp m conVeU, Fee Simple owners name
RecorOels offlce where canVaa Is recadad Racord number PeBe
,P�;.>�� p � 1..;�., Y ..r..l.: a..,. J:.. rr , s�.;�<.t � ��;"-PROP,ERT:Y�DESCRIPTION � -',.�'-. _ . ',-:' � -
County � Township T' district (city, . township) '
Parcel numher Legal desaiption Is Ne properry in puastlon:
� � �- ai proparty ❑ Moblla Homa (I.C. G7.7-n
tl any portion of Ne residential sWGure w the WM not exceeding one (1) eae ihat immediately surtwnds that s c[ure is usad to produce incoma, descnbe Ne use and portion
of Ma property utliked W produce income.
�x.a..:����: a�_r,:'4 _�._�,.'�'�`�°?�r�,.=;PROPERT\':OWNED`�BY;CLAlIV1ANTIN:OTHER?COUNTIESs,'"'}l �.'�:=>=��,»u��fi+�,:�._.�``�� ""
County Township Counly Tv.vnship
I hereby certify the above statemenfs are We, correct and complete. Signanre ofUeimeni \
- 1� �._.-�--
(number arrd sbeef, ciry, state, ZIP code) "
Q��L.3 0� � o �t N�11 l�10
a�;Y��i�����u'� `'�"'x'`�'"'`'� e�ou �,'���' � TRUE,TAX vL'�' ASSESSED,VALUE HOMESTEAD �'; �NON`RESIDENTIAL�,F'"`
x �...., tiEx..AS.ss.'s�,.� uSa;�N�B.'�F.T.k�7�i-rxy`��„i�.' �a�i V/LLUEy�,'t'w�'`a^,,, AT�:100%OF TTV3 �t- � VALUE �' ,�, v-ae4 �..`. r.:VALUE� _.�`.t?��_ �.:;
surtounding restldentlal�mprov ments.diatety ��� -..,� , �;� � + f�� ` �,
Other land � ....�. . �.
. (2)
Tatal land (Iine 1 plus line 2) (3� �
' '° �
ResidentiallmprovemenCSOrMnually �elling (4) `��•� i' ';. Y ��' �
.'o:
lt�sessed Mobile / ManufacNred Home � . -
Garege �g� ,� '.� _
.r.. ' ��,....:-
O�qet impmvaments (B) -�: -..''.;'.;T � _� ''.
•�'.
Tatal improvements (line 4 through lirre 6y (7� _
TCaI value (line 3 phs line n (g�
I hereby ceRi(y Ne above is We, cortecl, and � SignaWre otASSessor DaU signed
complate.�.
Vsifying aCJon-SlgnaWre oflwditw Data signed
�' s?c`'rr.'.'?��'x.?i �w. '�=fi�;..... ;^�•,�:°; �;.-'�'.•"'�r.?.'`STANDARD'�.DEDUCTION`AI:LOWANCE � _:1 ,. ...
20_Pay20_
lesser of 1!2 Homestead
Valuation w 535,000
S
Sipnature of Niditw Date signed