HomeMy WebLinkAboutHomestead_Spore� CLAIM FOR HOMESTEAD P.ROPERTY TAX
° CREDITISTANDARD DEDUCTION
t / State Fwm 5473 (R6I4-03)
' Ptesaibed by Ihe Department ol Local Govemmeni Finance
INSTRy(CTIONSi See �everse side for (ling instructions.
FORM I � YEAR
HC10 �
� �e) certify tha��'�e3st�ia���larch, zo_
I(VJe) occup' d as our p n I pl e of residence the toliowing described real prope for which a Homestead Property Tmc Cradit is hereby daimed:
❑ I(We) owned Are buying under contract �//y'�� 6 �
, Have a beneficial interest in the enUry Nat is liable for Ne property taxes on the property and thet owns Ne properry or i�u��`,g��ntrea.
.,...,.i rnu
If buying on conUSq, Fx Simple ownefs neme
G'%�.%r.'•I
LJ�uV V // �v�vvllegal
If arty portion ot Me residential structure w the land
of 1he property utllized to produca income.
Record number � Pege
Tmdng district
�he
��(xJl.�^�(f �Real property ❑ Moblle Home Q.C. 61.1-n
thet immadiately surtounds that sWCtura a usad lo Oroduce income, describe Ne use end porlion
��,��'""�"'�'' ���� '������� � TRUE�TAXy�' F' ASSESSED VILLUE HOMESTEAD 1`� + NON RESIDENTIAL "��`:
.�:�+'��_'�..'�� Esi�s.-��u3s�'.E=���'�.SY,-+�z�.�✓s. �`'.'VALUE'S^�y'z,T�.�L 1ATg100%iOF,�TTV .�a �r.VALUE � v, �`� �; ns'�VALUE`"':�.�`'q�l,d_ Y.�.
Land not exceeding 1(one) acre'immediatery . y���a�,y� .
_Y S > �� !r�`�t5�}'t.q):+
���1 3P"'t.` H-�i�'Yti-'t �n � J�
surrounding residential Improvements. � ��� ':{� ��'•, ";;,� � f v;�.;`{ +� t
Otherland �p� --"� h''�z'-�
T�al land (line 1 plus llne 2) �3�
:;'s� � , i. �m�r;� �-.
Dwellin9 (4) �a " z`� 3 -F��:S�`M- »
Residential improvements orAnnualty -„- , :; ;� �' � � ,_ d -�a'
Assessed Mobiie / ManufaGUred Home �. 4 -.;.s g�=. �
Garege �5� ._� � . s�
?`-c.. r ; =.h n .-'-._r•?�. ' -
1'Z �
OwJtrorimprovements (6) ;Arw z
..^,.:�
Tdal improvements (line 4 through li�re 6) �7�
Tcial value (line 3 phs line n �8�
I hereby ceAify Ne above is W e, cortect, and � Signawre of nssessor � Date sipnad
wmpleta. � '
Veilying actlon - SignaWre of Fwditar Date signed
20 _ Pay 20 _
Lesser of 12 Homestead
Valuadon w $35,000
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