HomeMy WebLinkAboutHomestead_WilkisonCLAIM FOR HOMESTEAD PROPERTY tAX
CREDR/STANDARD DEDUCTION
SIaU Form S173 (R614-03)
Reac�ibed by Ne DeparOment d Lxal Govemmaft Finance
INSIRUCTIONS: See iereras ddu
FORM 4 �YEAR
HC10 �
��e) c�/ �� ^-� certity that orYtfle '}�t tla�bTMarch, 20_
I e) occupied as our pri 'p I place of residence the fo 'ng described real property for which a Homestead Property T�c Credit is hereby daimed:
I(VJe) owned Are buying under contract �a� .:�
' Have a benefidal interest in ihe entity Mat is liable (ar ihe p�operty taxes on the pmperty and that owns th�y �yiF� 9FonUaU.
I( buying on conVacl, Fee Simple owners name
Recordefs olfice where conVaa is remrded
County
Township
_ 0 I�sthe
�
N any poAion o( Ne resiGentlal sWqura w Ne land not exceedinp one (7 � arre that immediatety rtounds th.
ot Ihe proDerty uW¢ed b produce income.
�%3/ �
IRemrd number Paqe
4S� �t3"}5iyt.y:.1K t �._?�+�." ^tily�.3fc'.'J.{
=N=ra5. 4�� -.v�.-�.�� ,J3�2tiiLx:_��3
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�.QuesGon:
Real property ❑ MoWle Homo �I.C. 61.7-n
used b protluce inmma, desaibe the uu and portion
.{, ``�`�`�,s�` �' ..°,� "�.��y +�'�"�Y '�.� r u ,�y.�. . . c. 's ;r$., _ K, �
tiF� ASSESSOR�USEONLY� '�"��� TRUETAX��hg ASSESSEDVACUE ��HOlAESTEPJ �' NON=RES��ENTIAL�� n
3f.';,"*.��. .�3:'ki�'� #�S.T��,....�'�s���'£�E�� � VALUE�.�',� AT 700%'O u�,'a ��n?;VALUEr`��.�'�`- #_��`�.`�..�VALUE-�r�v�^�'��
Land not exceeding 1(one) aae immediately ��.� �`"�: €3�` p� r��",'„'�, ;�'n.',
surrounding residential improvements. (�� � � �'z � �"�'�' .�` ,.,�.�es-; .�
Y_,_.�.. 4�'.�_ -�...'.^- ,u--�"
Otherland (2� �: �r�-`�''r � .
:�����
Total land (line 7 plus line 2) �3�
�.^ ?�a,�y�.�.,�i+�,'",���r ��7
Dwelling (4) ������� .���s;
Residential Improvemenffi orMnueOy
Asxsxd MobNa / Marunac4ued Haro 9 (5) �
s �r�3� � > �.,�-�
Gara e ��.`�.,�.���.u����
�+� �,.�aY.
Other improvements (6) �" �' ��
, �� �
TUaI improvements (line 4lhrough line 6) �7�
7Ual value (line 3 plus line n �g�
I hereby certiy Ihe above is We, corred, and Signawre ofAsseswr Date signed
complele.
VaifNng adion - Signature of Auditor Date signed
����5-�.-���r`�=`z:Sti ��i1�`�,t,--�``�`��'�.`-.�aL�iiSTlWDARU'OE�UCTIONALCOWAlICE.-r��',`�X�''sf':`,�...•�.,T. �-�'`' �'�'�r'��'.,�'`-�?:�.''r.�"�
�- _ .c •a.�vs..:�
20 _ Pay 20 _
Le�ser d 1/2 Homestead
vauaban or f35.000 g
Sigruwra of twditw " Date signed