HomeMy WebLinkAboutHomestead_Young (14)° CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
` '' State Farm 5473 (R8 ! 7-07)
�_ Prescnbed by 1ha Dapartmerri af Laal Govemment FinarKe
INSTRUCTIONS: Sae reoerse side (or filing instrufions.
� FORM
HC10
�_
YEAR
� M'e) �r�ry �o"a tne � st 2.`ir�ot rna�n. zo_
I(We) occupied as our prin I place of residence the fdb g described a roperty (w which a Homestead Pmperty Tac Credit is hereby daimed:
] 1(We) owned ❑ Are buying under contract �p� �Q/,�k,
, Have a benefidal interest in the entiry that is liable tw the property taxes on the property and that am�<pw�e�ty�oJ� s�lw�g�dec�a contraG.
If buyc�g om m�treq, Fae Simple ownela rmme
where cmVaa is recaNed
Counry
Twmship
Ta�ing distria
Recwtl number I Page
�'�=�"a- l 5-300 -oo�l. � a'�nP� �, I Is �he ProPa!�Y �R� O�PBrtY ❑ Mobite Home (/C 61.1-7)
�2
Ii any portbn of Ihe residerrtial sVUClure w the IaM noi exceedirg ane (t ) acre Ihat immediately surtounds that � re is used lo produce inmme. Eescnbe ihe uu and porlbn
oFUie property uliGzad b pmduce incane.
�_ � � • .r • �
i�', •
Land not excaedirg 1 (oire) aae immediately -�, r �- � ` °': "� . �. `�.Y ; ".
surtoundirgresidentialimprovements. ��) � �;y,_:yj:.,--„_ti_� .-�.�_._.-
OfherWM (2� *� � -- �.��=
- ', : `. , ,.�.r...
ruai wr�d �r�a i�r�s r�a z� l3>
ResidentialimprwementsorMnualy �Iling (4) '' �` �.i-.""4'- �:�.�' -., ��
ltissessed Mobile I Manufachired Home *, "
Garage g ���� _ :is�.
l ) ',a" �
omer improvements (5) ' -"n=;.' .
TUaI improvements (I'me 4 through lirre 6) (7�
Tcfal value (line 3 pks lirre � (g�
I hereby certity the above is true, correct, arW Signawra ofnssessw Date signed (month, day, yea�
canplete.
Vaifyirg edion - SigreWre MAutlitw Da1e signed (mmy, daY. yea�
- pay 20 _
Leuer ot 12
Homestead Valuafion
or
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 for 2008 pay 2009 47,000 tor 2071 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2012
o��. aer. r��
-bI-OS
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