HomeMy WebLinkAboutHomestead_Spooner. ' CLAIM�FOR HOMESTEAD P.ROPERTY TAX
CREDITISTANDARD DEDUCTION
t State Fam 5473 (R614-03)
' Presaibed by Ne DepartrneM of Local Govemment Finance
� � INSTRUCTIONSi See ieverse side Por (ling instnxtions.
�
' " YEAR
IF� I�
� H 10
� MAY 1 0 2005
� (We) —�--.n.— — v--
cert Q�t101EgY/p(J��pf� 0_
I(VJe) occupi d as our prindpal pla of residence the following described real pr erty for which a Homestead Properry 7ac Credit is hereby daimed:
'� (We) owned ❑ Ne buying under contraci
� Have a benefidal interest in the enGry that is liable for Ne property texes on the property and thet owns Ne property or is buying under a conVaa.
�� �+N�9 � ���a Fae simWe owners name
Recorders offlce where canVaq is recardod
Rewrd numbar � Pape
Courm/ Tovnship Tmri du (ciry wn, townshiP)
Parcei number Lepal desaiption is ihe prope In uwtian:
� � �,� ba �es� property ❑ Mobile Home (I.C. 67.1-7)
1t a`ry poNon at the residanUal shucNre w the iand rwt exceeding ona (1) aae Nat immediatey wrtounds that swcture is used ro produce tncoma, describa die use anc
W Ne property utllhed tc prt�duca incwne.
County To.vnship
I hereby certify the above statements are we, correct and complete.
ydms5 (number arM street, ciry, atate, ZIP ooda)
� R R % , ,QOX %, P�: � ctya n � �/[�
Counry
'-+''`�''g ""'. 3i'f"L sy�� � 3s.-� T T� 'r9 ._ � i c§` ..S . , y . . . . ._ a � . . . _
F'�"`%"'� ASSESSOR�USE ONLY,� �' �' �` "� '� � TRUE TAXa ASSESSED VALUE � HOMESTEAD ��. y NON RESIDENTIAL r-
v��'�at_.�Xk��rzy;bdfxi'-�i�Ya{ lt"; ; �.--.��-�-i :'$�'_ V/1LUE'"' y 1i AT100%OFTTV ,.:VALUE �.� .�:. v .,<se^:VALUEz..-+,�: _ .
Land not exceeding 1 (one) acre�immediatety . "•: �' .r..c--�8` ,' "+<.;'
surrounding residentlal improvaments. ��� y , "`� �„- ,',,� �� � �a
Otherland (p) �. ,a '�'+�nY � - - -
i..
Ta[at land (Ilne 1 plus line 2) (g�
Dwelling (4) '�� ��y��`�:'�.,.¢.s�-�z:
ResidentialimprovementsorMnuaOy _, ,� �#x- 1 ..;�, r �
Assessed Mobile / Manufactured Home 9 5 � t��, �����f�f R�„�,, a s�-�.
Gare e ( j 'i� � ° ,sgi°�Y,;, ;: • %< u i €
zr:,.; ,,,�s'�•;�_`;`� i
O�per improvements (6) p f" -i
i'T�5 Y
TGaI improvements (fine 4 through lirre 6) �7)
Taal value (line 3 phs line n (8)
I hereby certify the abova is We, correct, and - Signaare otASSessor �. Date sipned
complete. -
VerifyuiB action - Signawra of PLditnr Date signed
— 20_Pay20_
lesser of 1f2 Homestead
Valuation w $35,000
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