HomeMy WebLinkAboutHomestead_WessleyCLAIM FOR HOMESTEAD PROPERTY TAX
-'" CREDIT/STANDARD DEDUCTION
t Y» � Stale Fam 5473 (RS / 10-01)
Presfiibad Dy the DapartrneM of Local Govemment Finance
INSTRUCTIONS: See reverse side /orfiling insWctions.
FORM
HC10
YEAR
I(We) � certify thal on the 7sl day of March, 20
I(We) occupie s our ri'pal place oi residen e following described real pr rty for which a Homestead Property Tai�dit Ik f�r�imed:
❑ I(We) owned ❑ Are buying under contract � / �/
� Have a benefidal inlerest in Ne en6ty that is liable for the pmperty taxes on the property and Nal owns lhe prope(ty,or is buying unde�_contraq.
I( buying om m�trad, Fee Simple owners name
Recordefs ofice where conVad is remNed
County
Tavnship
Iown,
Record numEer � Page
PV � V�� �V O� � I L ' L�o �,/ ����' ' bg I Is the D�Pe O�Real WoDertY ❑ Mob�e Homo (/.G. 61.1-n .
H any poAion of the resi0ential struqure w the land not exceedinp one (1 j arre that immetliatey surtounds Na� struCUre is used b produce income, Cesaiba the use antl portion
��"1e"°P�"�'�°`°°`���°�° Ptsur! s-a-lo � �I V�
County
Tavnship
I hereby certiry the above statements are We, wvect and complete.
Addrass (num6er and
� ... �y...�.�.-i .... . -"' '..s.�.- '
', ��'y�^�� �- ���` '�''�-� • - �TRUE AX� � ASSESSED�VALUE �HOIdESTEAD�- � �'r ONN�dtESIOEMIAL p�,
• . � ASSESSDR�USE ONLY �� VAL:UE='P'� �` t �"'AT.{100°r6 OF�TTV� ''�'�,.VALUE�,� � ����VALU���s�!`''''�g
z-.1 - _ �. #T"_r'..S` &�iF�k`SG`�i � .� . .� �' � '' -�'4i_ _ x z-..�1 e-, � � w 4 �: ' S3s
Land nat exceeding 7(oire) aae immediatety � �,�""'�`�'.,���"-'+^�-.,,`��,_st�„g�,��'}-:��
suvoundingresidentialimprovements. (�) ;�����-,��,rh'_�����
,_�,�„k- '[i-:�. ' .
Other land (y) `�'.�'� `-',r:
� .,s��u`�:..-v_ z
Tdal land (line 1 plus line 2) (g�
�� °". �-_
Dwellin9 (4) -� -+� �„ s
Residential imprwements � �.,�u .�.�'?,., �' .,
��3'��r-- [��: _ ---•-a-�
Garege �5) .z'r.t ; :h. � . -
�;-?i�'�A��u:.%'�S_'`..�� '�.�
`+i'�?`�TK"='�� f='�. Y
Other improvements (6) ��� `
; `'r`'�s�`i �f��r��
Total improvements (line 4 fhrough line by (7)
Ttial value (line 3 plis line n (g�
I hereby certify the above is We, coved, and Signamre ofnssessor oa�e signea
complete.
VerilyingacGOn-SignatureofPLtlimr Datesigned �
20 _ Pay 20 _
Lesserof 1/2 Homestead
Valuation or $6,000
$
5,�- I �.-O