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HomeMy WebLinkAboutHomestead_RunyanCLAIAA �OR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION s� r� srn t� i s-ou� Prembed by Uie Oapeimart N La�l GouambrA Fris�m INSTRUCTIONS: See reverse side !or filing instrucGons. �� � � HC�10 � �(�f.f/ �II(;77 �007 � iWe) certify 'Sfbn'ihe 1 day of Matrh, 20_ i ryve> 000,�d a5 0� v�a� a� a res� me �y . po�ny ro. wncn a ri«r�sread aa,�rty�r��a� �s n�en,� a�rr�a: ��(we) owned ❑ ae cuyQg unaal mntea �/( U`� U1 Have a benefitial 'v�terest m ihe entity tliat is liade fn Ihe propeAy �ces m Me popaty and Cat own�l4$��4�'I�T�,��T,� a�,ra�c ti ' ' ' .� i:.�F :. , r.' � . If buy.g on �tracl Fee Sirtryle owrbfa repie.,, F�rdels of6ce �wl�ae m'O�sC ia recardetl � 4.� � �et'f�, '.� s, r r . _ ,{,vi Ca'i'h . n � _ _ Tu"rskp Lepal dauTiptian � H eiry pation of tha r�idaq'ral NruAUe a the Im�d nd m¢ee6rg ona (1) aoe tlat ot Ihe prope�ty uliimd tn p'od�Fe v�mne. tha prapgrty in question: Re�brd num6ar � Pege rty U MoGb Fbrte (LC. 61.1-n - b yoace i�mrte. tlesabe Vie � ariA pution � �.ASSESSOR USE ONL.Y �' ��' � y � . , � TFgIE TA7C t ASSE� VALUE - H08ffSTEAD �� 's � ��NON�tE5lD6i71AL � . ..S •; < �,- � . ;�'` �'iY; �::��. 1/ALUE: , ��AT100%OF.TTV `� ,,�,VALUE.�,a . ; vs�ia v?-.'�Va-��:�`.re1-.'�u�.��. Lm�d not e�ee6ng 1(me) eve irtvredately ' ?r'� ���-sw� � z.�et=�.r.�e�n rv� ; SIpf01&IdC%J fC31dEf1� 1RIpfOVfRIPl1�3. �� y F.j Zi�Ga� r�`.�z s'� �s �i.;-'.-t�i&���Pk -.:: :.s.:.;. ; ; . OlhBflerd �p� •' r't.i'�. ��t.��.�� `:-!iT;r!tv Td� lard (lire 1 pku Gre � �3) �_i� ��y4s��x,`` ta,y} �Y:RY,YS�Yg``�!'��q{�'. lY sy� 1 RP.9dEflil'd� Qf1�fOIEplCf1�5 QiVif111A�y ��� (4, ,i�i3 v.�G��.�� (��.55�:»z ��Y�]i''.�� � �1.18 � �.BfbdCd �i0f11B ��e $ � l`�������}� qr� �� ��y5�� � � d` �i.`. zb;� � �J} . � �....Re � t VYIOI Qn�l�$ /b'� 'l�. -.M� i4r�4 ( t ` '.> �, i..y. Tdal irtryrovemertts (Gre 4 tivwi� Bne 6) i7� Tdal value (I"wre 3 pda Gne 7) (g) I he�rby certiy ihe above is We. cmetl. and Si8^mra wnsamsar Date s9�ea comPlete- . �h��B aman - Sipnama o�/�m. Oam sis��ed '_'.:d;:r..<-�' : :':'-�.r"�� 20 _ Pay 20 _ Lesser oF 12 Hwnestead Valuation w 535.000 S —I / �D�