HomeMy WebLinkAboutHomestead_OwenCLAIM FOR HOMESTEAD PROP.ERT,Y:TAX,: .•, ., - FoRM YeAR
l n• ti _.
��CREDIT/STANDARD DEDUCTION � . ' - �� -• HC10 �
♦ � S�ace Fum Sa 73 (R6 / 4-03)
Prescn6ed by tbe Denartmem of Local Govemm�m F'v�zr�ce ' - � � �
INSTR(JCi IOA'S: See revcrsr. sidc /or lilinq ir;i6ucliuns . ... . -. '
�
�.:�Y` s ��,;; . �- �,3?S.' - ` . Y4.` w.1 � . - -�CERTIFICAiION STAlEMENT.: � .� v'::3..:: .- ' -:i:i .. .
� M�e1 �� � ' certify tha n he sf f r,
I(VJe pied as our pnncipal place of residence the foilowing descdbed real property for which a Homestead Property T�c Credit is hereby Gaimed:
1(We) owned ❑ Are buying under wNract � � � � �� APR 2'] ZOOS
� Have a benefidal interest in the entiry that is liable for the pmperty tazes on Ihe property and that owns the property or is buying under a wntract.
.:,°[,�,:,��„F.'�",_,��_ ��..'�'-.��� �e';s,.��^'�. a _�,,��-e';;'.�j�':�CONTRACTRECOftDED-''_-;.1_�- ,> _ ... r_�ccriu:COl1NTY AUDITOR-�--
If buying on contraU, Fee Simple owners name
RemNers office where wnVacl is recorEed
Counry
Tawns�ip
.YV_(1�=VlW� vv I �'�� /�C:.—
If ayy pcnion ol the resiCential sirucWre w tha land not eacaeding one (1) aao thnt
ot N.e property uWized to produce income. '
County I Toxnship
��— .
I hereby certify the above statemenls are We, correct and complete.
I�ress (num r a.M street ciry, state, ZIP code)
�-�- ��3-�1 � �C � Yl!'� �a�
Tacing
Is
Record number � Page
,- ; 2n�a_� S-i" .,. -
eal property ❑ 6lobila Homa 11.C. 6/.1-7)
�Flat sWtture is u5ed to produce income. desui6e Ihe use antl portion
claimant
^ �
��� - � ; � �'Y' � �'� }i��-''�'s`sr`� ��TRUE>TAX' � ASSESSEDVALUE � H06AESTEAD'"+ �°f ��NON-RESIUENTIAL�r �.
��j,� ASSESSDR�USE ONLY � �,.4 j' � c ;,� a `�. ^ � � 2 y,'+? � VALUE���
-_ �_s .ti .,,� -�r.}-�°a -r.,...i"-P'-°s'_ . :�i�,� �.i,... ... J.y VALUEC.. . � AT t00Y,. OFTN� �sa VALUE��, -��`�r _:. �-. �. .;.� s.. r:,::
Land no� exceeding 7(orfe) acre immediately r��,., `t�.� �+ ir��� 3*"`h:;
suvoundingresiden6alimprovements. (�) �.--�;;;-��_�"^,,._.�.;t�+',�ti..,,;.. �?Z"�'_�
� y�ri�''" .ys s�q�; 1
Ofherland (Z� -'��°� -''f. ?«i';
-;��.. �r<.a_r
-:�'...:vv. -
Tdal land (line 1 plus lina 2) (3�
Y 'S r
� Dwe�iing (4) . `� 'r i e� .f� �� �.�• �' �'�
r -'�,r�. ��.',.t?.,s!a!ic
Residenlial improvements or Mnualty � ,�� _
AssessedMObilelManufacturedHome Garage (5) �`'�r+� '����',� � �y a�"'.
n:-..Q�:h,., r����; �:� �. _,
Other improvemenis (6) sr � �t�`�'' �
`_� :�rv_`-`�'�:.��'
Tdal improvements (line 4 Ihrough line 6) �7)
Tctal value (line 3 phs line n (g)
I hereby certify the above is W e, correct, and Signawre of nssessor Date signed �
complele.
Velitying action - SignaNre oflwditor Date signed
20 _ Pay 20 _
Lesser of tf2 Homestead
va�uauon w 535.000
SynaWre oflwdda
S
�
-