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Home My WebLink AboutHomestead_GoldbachCLAIIM FOR HORAESTEAD PROPERTYTAX FoRCA � Y� CREDR/STANDARD DEDUCTION HCto ' � sr� r� sara cR� � s-o� —J P�effibad bY tl» Dep�trrait oF Laal GoaelmeN Finanae INSTRUCTIONS: See reverse side Iw hiing insbucGons. ..... 'i . .":>> � �` _ _ s _.�.._'_�.�sCB2TiFICA� I(We1 lt� /Y� MO l! Jl � T�` �(J��I 1 S�: bie�la.t� . certiy that on t4g�d� i�f �, 20— I(We) ocapied as aa prmdpal place M residerce Cie foAowirg descri6ed real property fv which a Hm�esOPad Property ��ac t is hereby daimed: � �(We) owr�ed ❑ Are buyvg under contrad `"YYI `Q/�a-�� Have a benefiaal "v�teBSt in the enfity tt�at is liade Ax Me property ta�ces on fhe propaty and C�at owns the property or is/'by� � k4�� H hry"vg om m�traG. fee Sirt�le aMnels reme r�ders olGce wr�ere cawaa is remrded _ `. Canry Tuaafrip Tam�g Recud number � Page �`=ramiber Legal Oescriptlm b the propaty in qu�fion: ' v p�-31-�n-�o ��t ❑�� ❑��,.�.6,.,_n I�ary partion or u,e �idential s�ae a me mna �ml ma�eeAiny one (1 � aae aial:nmad�ely sl�a� uffi �um,e is used m prom�oe:�wrie. dawme me �mme and portion d�,e��m'��. f�t 30�C3� -�-I D �-bo ,. .:. _ _ . . , . � . - ' . � . . ' ' r.. �,<.', ' PROPERTY OVYlIm' BY CLNYANT @! �OTHH2 COU►RffS '� -" � ', -_. r e 'Y;m�»^:� s r �: } . ,r,:c�, ,�,�,:- :�.`�r... Counly Township Gounly Tav�hip � nereby oer6ty me anwe sfa6err�nfs are aue. carea and corrp�e�. �°� � Y C:' n end dry; ) �6 s ri ASSESS�2 U� W1LY "` �� p'� a�f t� � TF�JE TAX ` v� .. AT�OF TiV j'a a;��VALtJE�x �� q� � V��'�'r��' -4 t <.,c" ,ta+.��!.�. : -_ .t � : �.:�,� .ti, , i .. {'....§ ?r . VAUIE;> .. ,. ... �..> .. a.,.r.. . .:��_>. .�...,. ,v..<w �: s..7�K!.`� ��ka..t,wk:x iY�: LarM na4 exceeding 1(one) aae i�ately ` s� �� Mi�t��^"�t� �'�',�� s�ufoundvg residential imaovemen�- (� � ,� R# ?.a'jn.s�' �r.�^r _, .r�.,�,s��x��{? r Otl�er land Z ,:�,r' s' ii.' . ( ) - �'.. dY,3�?.;a'. Tdal land (I"vre 1 pku!'vre � (g) i �+.+ '�#e ��n �f ts.F� `'�t�'`s'�,� i if �f�".1a 3'a,'. ResdenfialvnprwencntswMrwally �� (4) '�t,��,��'a}.a.a'.��T't�'4i?� A4se55ed Mob�C / Mtarnt�rised FIuf18 :.. ''r rt �;��y+�"",,g��.,�'• r3' �-:. �� (5) � ��'^g�.�s�"t.�i.1'�•x ��sv��i.��.tl"�"w� Other vnpovernen� �g� • � c'. ``,•3r„�.�° �i* ��`. T� "vnprovements (fvre 4 througA Gne 6) i71 Tdal value (line 3 pds 6ne n �g) I heneby certify the ahove is 6ue� cort�ed. ard Si&r�ae finsaessar Dam sigied camPlete. Verifyi^9 aman - Si�a4ae of Mi6Far Date signed . . �� STAXDARD.DEDUCTION ALLOWANCE. . .';�? .,.]r � f �_ : . :"v,� -r,:.:�� > ;fs+;>.��'�a tj{ 20_Pay20_ Lesser a(12 Hwnestrad Valuatian or E35.000 S 3ignahae of nwiru Date sg^ed