HomeMy WebLinkAboutHomestead_GardnerCLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
` 1 State Fwm 5673 (RB! 7-07)
Rescnbed by �ha Deparimerit aF Locel Gwemment Finance
INSTRUCTIONS: See rsverse side /oi filing insWc6ons.
� FORM Y�R
I H�� �
MAY 2 2
, ,v�� `�j�� �
�(We) /.C,vL cer6fy Gfi���day oi March, 20_
i
�(We) occupied as our rindpal ce of residence Me fWbwing described real property (a which a H�� imp,TygQj�y�ereby daimed:
� I(We) owned ❑ Are buying under contrad
❑ Have a benefidal interest in the entiry that is liable for the properry ta�ces on the properry and that owns tlie property or is buying under a cmtrad.
If Wying on cont2c4 Fee Simple ownels �me
Recordefa otfice where canl2q is recortled
Counry
Pamzl number
TamsAip
rown,
Is ihe prapeAy
Recwd number � Paqe
� r/ r,/L ���� —�� I � Reel propertY ❑ Mobile Home (/C 61.7-7)
If eny porUon oi lhe resitlenGal sUUClura or ihe IaM noi exceedirg one (7) acre �hal immediately wrtounds Uiat sinicture is usetl In produce Inwrtre, descnbe ihe use and poribn
ot t�e P�oPertY utiGZetl In pmduce inmme.
07�-/� ia-�do_oo� ��� aa�
Counry
Toxnshlp
I hereby certify ihe above sfatements a2 We. cortect and complete.
.��.
Counly
of
�_ � � • .� • �
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Land not ex�ng 1(one) aae immediatety `' 's�`.,� � r"'
w .
surroundirg residential improvemenis. ��� _s - ;�1. ' :��=
Other Wrk �p) - - -.
Tdal land (I'me 1 plus line 2) �g�
�, .
Dwelling (4) :�` ut �t� ���:cf . .�y:.
ResidentialimprovementswMnualy ���� �,'- F--"���-
A55e55edMObile/ManuFacWredHOme "1.�•?-.• � + �- '3
Garage �5� r��� �"3 �>-:' r>,:..
r
�r-:�r.�,�.f�.:_- �.a:�.
.. ..� � ....: - -
OtherimprovemenG (5) "• E. ��y� .,.�,
' -,��,. . �rs..
T�al improvertienis (line 4 through lirre 6) �7�
Tcfal value (line 3 p!(s liire � �g�
I I�e2by cartify Me above is true. correct, and Signawre ofassessor Date signed (manN, oay. yee�
complete.
ve;yir,� aaon - s��awre m nudnw Date signed (month, daY. Y��
.•-. � . . .
20 pey 20 _ qs,ppp for 2007 pay 2008 42,000 for 207 0 pay 2011
Lesser of 12 qq,000 tor 2008 pay
Homestead Valuatim PaY Z009 47,000 for 2017 2012 §
a 43,000 for 2009 pay 2070 40,000 payable after 2072
Signature of �tar Da1e signeE (manN, day, yea�