Homestead_WeeksCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Stete Fpm Sr73 (R6l M3) �
PresWDeE by the Depa'tr�ront d Local Go�emmmrt Finarqe
� � YEAR
FORM �
� � HC
wsraucnoNS:s�,��.rraa�:�m„�a«�,. SEP 1 2 2005
�v3a'£ r.L����-A'�i,''�`���..�:7r ;€f�.i��`.%�:�i4��CERTIF.ICAiION�STAlEMENTf,+r.l-'_���.`r>.=.i:�� x7'i.;tt+-.f��.`c�,-�_°'� �:;.
—..--- . ...._._.. .
� �e) � certi(y ((iaf � ��y of March. 20 ,
I(We) occupied as our princi place of residence the following described real property for which a Hom��/OhS.@jJT$�Cr@biA�T�re' by daimed:
�I (We) owned ❑ Are buying under wntract
Have a benefidal interest in the entity that is liable for the property taxes on the property and ihat owns the property or is buying under a wntraU.
If byring on conVact, Fee Simple ownefs name
Remrders office where Contraq i5 recorded
�v�*-��,u�a��x"'���.i��"���.�i` �`
County - Tovmship
Parcel number
H any portion of N8 rBSiAential aWqure a the land nol exteeding one (1) arre that
of the proDertY uW¢ed lo Produce income.
Tating dislrict (cify, tawn, townshiP)
Is the pmperty in question:
Record numDer
❑ Mobila Homo
Page
wrrounds Nat sWCture is usetl lo protluce income. tlesaibe the use and poribn
. .. . . . _ ...
.s.y�?e;a�`�u.. +�'�'.rs�13 ��''�c-�. ..���i3'���`. s�'r..�STANDARU;DEUUCTION'AL'COWANCE,�3;�'.,,��.''eh�:'k....�L4s',� �"''�s?=t"�`?�`"'�� �"""�'��+�n,``r�.`',�,',s
20_Pay20_
Lesser of 1l2 Homestead
vauana� or 535.000
S
Signature ot Auditor ' Date signed