HomeMy WebLinkAboutHomestead_Belcher (4)CLAIM FOR HOMESTEAD PROPERTYTAX , 1 FORM �
CREDIT/STANDARD DEDUCTION �w �
� sam wm, s��a �� i sa�
Prma3ed by ihe DepeMient aF Loml Goverrment F'uw�ca
wsrnucnorrs: sea �� �a ra r�rny r�so-��. MAY 2 2
��t�s;��i�;�.i`�`x:�i'�"�;��e;i':'����i �'�� �,� ..��3.c�tutcnnoN�sra��r�'�',;?�`�?�'�.t'�..����s';���'����
�(We) certify that on thz�(sfd'a�oTM�20_
i�we> oca,ped es o�u �a� pieoe a re�ae� me r000wioy aescwad �eai a�oaenr ra wr,�cn a HomeS�aa a�oa�B3�aS'�'�W l+g�„ ��?j�
,��(V✓e) owned ❑ Are buyv�g und� crntrad
1ave a benefidal interest in Cie entily that is liade tor Ihe {xoperty tarzes an the property and Nat owns the {xoperty a is 6uying under a contract
tt buy'ag om m�uact Fee Simple aniefe rema
Rewders at6ce wl�ea caWad'u
cau,ry
Parcei raar�bar
Ton'atup
rc am P� d/��e rasidential stnicUae a the lantl !wl ezceeding one (1)
w
of Ue yopelj�(tiGmtl m p�oduce c�mme.
o��-ia-�� .�G,�- �.�i-oa�'
Tmm�p Qislrjf! (igy, Awn,
Is t1�e
Recard number � Page
p�operty ❑ Mobik Fbme (LC. 6/.f-7)
artounds Ual �ra ia usetl tu Produce'rnmma. tlescribe the �se and portion
' �f>.,Yu,eK..�'itF'�i`'.'-3���t.�-`�xir�.�,`�nti"�•}:•�'�w,r.ai'�.:'iSTANDARD�DEDl1CilON�'ALLOWANCE�Tx�t'-�.�.:yrl�"�q'�1:fwMe,..ri"�L�.f�"!+-,�tt�af�,?:*�.'�'���^'T�'�C'.`.�'?-:l
. 20 _ Pey 20 _
Lesset of 12 Homestead
Valuatim or E35,000 f
S'gnature of Auditv Date signed