HomeMy WebLinkAboutHomestead_Hedges (5)e�rt�� t CLAIM FOR HOMESTEAD PROPERTY TAX
- � CREDIT/STANDARD DEDUCTION
`� J State Fwm 5473 (RS / 10-01 �
Prescribed by the Department ot local Govemment Finance
INSTRUCTIONS: See reverse side for /iling instructions.
� ('Ne1 �s"b(1i
I(VJe) occupied as our principal place of residence
FORM � YEAR
HC10
�� certify that on the tst day of March, 20_
described real property (or which a Homestead Property Tac Credi� is hereby daimed:
❑ I(We) owned ❑ Are buying under contracl �
�iave a beneficial interesl in the entiry that is liable for the pmperty taxes on ihe property and ihat owns the property or is buying under a contract.
'-`c�-,"'�.€�'aru3.�5;�.*F�':; �' _*a� t .�a ..�..• titCONTRACT' -z�;._.. c -.., ' . -.:_... . �z.3� _. .
. � _...s � • - 9- ,. RECORDED�.:s,. ,s . _,.�. .2-. ._ . �,-� ' =
t' .t �.
if buying on contract. Fee Simple ownefs name� �
Recorders olfice where contad is recorCed Record number Page
.�-'=' _:w:"�:-�-�-° ���—.::_i:.,+ . � ��.-y �-;.'^tiY° -�P.ROP.ERTY.UESCRIP,TION�$' .a^_ •st,{;� } -� _
3 -
County Tavnship Tacing dislrict (ciry, fowq township)
���c n her Leg cri ' C Is Ue property in queslion:
�� Q'���D ❑ Real pmperty ❑ 6lobile Homo Q.C. 67.1-7)
I( any potlian ol Ne residential strucWra w Ne land noi exceeding one (1) acr Ihat immedia�ely sunounds tha� swc[ure is uud b produce incame, desoihe Ne use antl portion
of Ihe property utilized tn produce income. f/, ��
.�
� 4�+' 4
�� ����AS ESSOR�UBNONLY+r� �t�a�'yK`. y� TVALUE 3 AAT.1 OYo OF TTV� H�VALUE D t �:Y -j NON: V�U� TIAL` ��` •
• �t s s k r�t . . lt ',7°
Land not exceeding 7(one) acre immediatety �t?` ��'- ; x
surtounding residential improvemenis. (�) � �`�.i �„ =''� �
.-��.v"� .�'r'::ss?-=
Other land �"-�""s ' �u
��) F r w% �� �`�
Tqal land (line 7 plus line 2) �3) ,
_ �
Dwellin9 (4) iiN: S � 's �� {Fi;. rr-�' - .
Residential improvements � � '" �" }" ` r'a'z t"�°� ���"sk�'`
r r u r -
Gara9e (5) i //1 :Ir� zx�^�',� �!�,�'.y'�'` �_
l L-.. . t�. /I �� r.Y'� �' �
...a . - �.1�^"%J {"J .,y t' y ✓+_ .
Other improvements (6� ' � ���°d � �ebNl-y p�8179 ._ � `i'.i-;; � �'`.:d�
Tcial improvemenis (line 4 fhrough line 6) �7�
Total value Qine 3 phs line � (g�
I hereby ceAify the above is We, Conecl, and Synamre o( Asseswr Date signed
complete.
Verifyifg action - Signature ofAudimr Date signetl
. .� . . _ _ . . .-.
, �ct��.`-� �T'c.-,,,���i `-4n-��:• t � .-,�STANDARD.DEDUCTION�ALLOWANCE-.-.t'..��.'.:'.r..z.�.k..Y,ti'�'' r:_� �`Wy: �?ti.�>.',_ ' ,.
. -r� �3�_.=.
20 _ Pay 20 _
Lesser of 7/2 Homesiead
Valuation or 56,000 S
SignaWre oflwditor Date signed