HomeMy WebLinkAboutHomestead_Beckermani���""°- CLAIM FOR HOMESTEAD PROPERTY TAX
�° CREDIT/STANDARD DEDUCTION
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INSTRUCTIONS: See reverse side loi fi/ing insWCtions.
FORM
HC10
YEAR
CERTIPICATION STATEMENT ��� �'•'-h� � Hcsa�� �
Y�.
I(We) certify that on ihe 1 s day of March, 19_
I(VJe) occupied as our princip lace of residence the following described real property for which a Ho /t� ad P[operty Tax Ciedit is hereby claimed:
❑ I(We) owned ❑ Are buying under contract ��" 7 l �'���`
❑ Have a beneficial interest in the entity that is liable for the pmperry taxes on the property an ��r is bu ing under a contract.
CONTRACT RECORDED �'� �
If buying on conVact. Fee Simple owners name
Recorders alfice where conVact is recorded Record number Page
- PROPERTV DESCRIPTIO
County Tovmship Tamg dis�r' t "ty, , township)
Parcel n mber Legal description / / � / �� � ��
—ooa� s-� f
It any ponion ot the resitlential structure or Ihe land not exceetling one (1) acre that immedia[ey surro s that sWCture is usetl to protlu income, descnbe Ne use and portion of
Ne property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Tovmship Counry Township
SignaNre ot Ua'unani
ereby certity the above statements are true, correct and complete. �
ddress (numberanOSlreet, ciry, state. ZIPCOAeJ
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDEN'fIAL
VALUE VALUE VALUE VALUE
Land not ezceeding 1(one) acre immediately (��
surrounding residential improvements.
Oiherland (2)
Total land (line 7 plus line 2) (3)
Dwelling (4)
Residential improvemenis
Garage (5)
Other improvements (6) �
Total improvements (line 4 through line 6) (7) ' "
Total value (line 3 plus line 7) (8)
I hereby certity the above is Irue, correct, and Signature of Assesor Date signed
complete.
Venfying ac6on - Signature of Audimr Date signed
STANDARD DEOUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead S
Valuation or S2,000 —�a— O /
Sgnature itor Dat � n