HomeMy WebLinkAboutHomestead_BowlesCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Slete Fortn 5�73 (R614-03)
Prearnbe0 by Ne Departmorrt d Lxel Govemrnenl Finante
INSTRUCTiONS: See 2`erm ffido /arf�p i�s6urb'ont.
FORM '(��� YEAR
��
HC10
�TL,E�
� M�Q) certify that on the tst day of March, 20_
1(We) occupied our principal place oi residence lha following described real property (or which a Homestead Property Tac CreGit is he �aimed:
�(VJe) owned ❑ Are buying under cont2cl '�//raG ��p�TOR
,l h' P P rtY P P rtY P P�W Y��
Have a benefidal interest in ihe en6 that is liable for the ro e taxes on ihe ro e and that owns lhe ro e 1&$�ili �in er a conVact.
If byvg om m�iraG. Fee Simple owners name
ofice where conVact is recorded
Counry
Parcel number
��iq-�
If any portion of Ne resid
ot Ihe woperry utilized b
Tnvnship
sWCWre w M�e
M
ice inmme.
exceeEing me (1) aae that
Record number � Page
Tacing
I Is Ne property in question:
, � ❑ Real proparty ❑ Mabile Homo (/.C. 6f.i-7)
wrrounds that swcwre Ls used to produce income, desaibe Ne uu and portion
�'� ��s,�f�������.'P""'�����PROP.ERTY;UWNED',BY�CLAIMANT;IN,'OTHER'COUIJTIESF`t`• ��''��"'K""'k ^x`' " � �"`
..._.�.,7.�'f.�."�i.�, w .� -: �_ �--7F. _... -i'�*��r'�.-:�'�@
�Counly Toxnship County Tawnship
I hereby certify ihe above statements are We, corred and complete. Si a re ol imant _
i-�
Mdress (number and sbeet ciry; s(ate, ZIP code)
g.��"' �s3,"`ir7'�.z�"_'�' -�—�s�--�_t.e s—a-r s.,.. . �,�.. . . .
�ASSESSOR USE ONLY' �� x�' i TRUETAXr�.� �SSE5SED�VALUE �HOMESTEA�h� �'� �}NON=RESIDENTIAL� �"i
�,a� '�„�v-�vpga�fs�2.., �j;Y��3�' Q��VAL:UEy,'�.�k°'�.`, __AT 100%.OFL,'T7V� ��,�-..VALUE� ��' y'��VALUE���y;,,ra��y��
a-. � Frz . '
Land not exceeding 1(one) aae immediately �".p`��,,���..�"�'� �s i`�'�'n..'�',,;5^
surrounding residential improvements. (�� �'''��"�, _�j�,+.`,p`1`��.�a
>y�"Y , .�°'i3rr�,4f. .
Other land `�'t`'
F . .:
(Z) �,3::� ���
7dal land (line 7 plus line 2) (g�
'�t,"�.�` �'�`��'z�#i��?`"�'",x
Dwelling (a) ��,���a..fr�:��
Residential ImprovemenLS wMnuaOy
f k'�� � 3 SY� L=vK:
A�ed MobOe / Alanufactued Home Garage (5) ?��.'`.,,�'�`'�r��•�������
���4��
!� ��4..
��_Ja.
Other improvemenls (6) �:�,-s.��$
- 3av . v,:a'rr..?-�
Tdal improvements (line 4 through line 6) (7)
7otal va�ve (�ine 3 p��a �ine � (g�
I hereby ceAify ihe above i5 We, corred, and Signature ofASSessor Oata signed
complele.
Verifyi�g aclion - Signature of Pudiwr Date signed