HomeMy WebLinkAboutHomestead_BeeyleCLAIM FOR HOMESTEAD PROPERTY TAX
- � CREDIT/STANDARD DEDUCTION
Slate Form 5473 (R817-07)
� u� Prescribed by tha Departmerri of Laral Govemment Finerroe
INSTRUCTIONS: See reverse side (or filirrg insWCb'ons.
FORM
HC10
YEAR
I(We) 7/,��iC/�/�� fi 1�iu�-� � G✓/-�-�'-P% certiTy that on Ihe 1 st day of March. 20_
I(We) oocupied as our prindpal pl ce of residence the fdbwing described real rop�pa Homestead Property T� Credit is hereby daimed:
� I(We) owned ❑ Are buying under contraG
J Have a benefidal interest in Ne entity that is IiaWe fa Me property taues on tlie propeny and that owns the property or is buying under a contrad.
It buying om m�Vaq, Fee Simple owners rreme
Recwtlarc oi4ce whera contrad is recwtlad
Camb Twmship
Paul number
If arry paUOn of �he resideMial structure w Ihe land nol exceeding one (1) acre Ihat imn
o(Ihe property vUGz� In pmduce incprne.
c�� /o?-o %�o�oo����oae'
Recwdnumber IPage
(cify, fown. townshiP)
��erty' 9uesUon: �
Real property ❑ Mohila Fbme (/C 67.1-7�
sUUCture is used b p�duce rtre, tlescriDe the use aM ponion
_p� �
OX �irn�
,_ , . . .. . .
„.. �
LarM not exceedirg 1(one) ave immediatey _�.. '��'�; -s r`. � S.: E':r ,-.n. �•.
surtoundi residentialim vemenLs. (�) ,-'".•.;�".r.`°�''•:,�.`-.:�:,�
�9 P� F�> r
Other land (Z� ' '
, ��
Tdal land (1'me 1 pluslme 2) �3�
L ,�ry� �y�+`� ry }3 ;s; ��;`�.� � �
ResidentialimprovementswMnuaiy �elling (4) "'�",,.L'�'.+a�1i..-,._,��:',,..,<..
Assessed Mobile / ManutacWred Home �_ ` '� ,,•- u�,.�. � -�t ° -s
:
,sa
Gara9e (5) ,.,. •t .,...�
� F"� �':..' � :i .
Oiher improVemenLS (6) '- _ -
' _
TUaI improvements (line 4 thiough li�re 6) �7)
Tolal value (line 3 plis Grre n (8)
I hereby certity the above is we, correct, and Signature otAssess« Date signed (mmfh, day, yea�
complete.
Veriryirq adion - Signa Wre of AuUitor Date sipned (mon(h. tlaY• Y��
� PaY 2o — 45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
Lesser of 12 qq.�pp for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation $
a 43,000 for 2009 pay 2010 40,000 payable after 2012