HomeMy WebLinkAboutHomestead_Brown (21)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
smoe r� s�re (rn i s-os�
P�esabeA by Ihe Depmtrnent of Loml Gorerrvnerd Finanm
INSTRUCTIONS: See ieverse side In filing inun�c7ions.
■
FORM
HC10
_I
I(We) 1 on 1st �gLfilard�. 20—
I(We) oavpied s aa prmtipal plam of residerce the foAowirg described real property for which a Tmc Cwedit is hereby dairned:
�,' �"'e� ❑^`e w„�s ""°� �°",�d pEC 4 2007
Have a benefidal interest m the en6ry ihat is liade for ihe popeAy taxes m Me popaty and Mat owns Ne properry or is Wying under a mntract
tt buyig on mitracl Fee S6ripe ownefs reme
CounY
xn-�o�-
H arry portion o1
d tlre poperry i
Remrd numbar � Page
/y� legal deeaiptlon �% Is ihe papsly n quration:
`�I �Wa�osu_Op� 6 ❑RaalPapertY ❑ Ma6ibHonie(I.C.67.f-n -
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�al strumae R the Im�d na mseeding one (1 J eoe that inmed�tely wrtamm ur� awmua ia usea m pmmce nmme. des�nm the iae and pwEOn
PmAce uimne.
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. i. . ' ..� . , ryT1�{'r TRUETAJC " ASSESSmVALUE �Fi08�STEAD`� `dt �FNONatE9DEN71ALy�c�'�"
ASSESSORUSEONLY.� � � r :•AT,t00XOFTN .YALUE.,r;a�. #� �.".� ; � �t�.
'.�, <,,. �{?�`. VALtJE. LI'5,�,'..FVAUIE ,x t� .� �.
lmW not e�ng i(one) aae irt�affily . y.. �� i � r�d. " 1 b�#y i. ���
��) � �c ��,� .,',i,rl � W f i�R`�SA�1�'�
s�araaiding residen6al improvert�en�. �5 �i 41 �uY.s.n ,.. t v... �-; �.. ai
; �Y.rt;r{s� :y _
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Olher land �y) :.;.t.:'_� :...:.',:
TU� land (Ic+e 1 p6u fvre � ig)
t' � �,� � �r '�s P ;�s l'',�.1 ��^
DrreRnB �<) aK� �� ���n �`w3�."d`� �'J
Residensa� vnp'wenerrts oranrn,aly :r.�.�i .�.,,��.�r�+�-,A1.• �'...�..�:.,�;':
0.ssessed MObBe / Mlmtt� Flome �,.r, t a-� C;s: -' w' {n i�„x:�' v:,y'.
Get�ge �� ^< �.�j'�'��G,����ciU� rrk��'� *�r",
�;.x;.i`# � s,.;o� �.,4t F7�;�ix{.`.+..: .x
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..
omer unproverr�enes (8) •'` t . a, �. ... .�.
.t
Tdal'vr�ovanerAS (Gre 1 tivd� Bne 6) �7�
TUaI value (I'are 3 phs 6ne n (g)
I Aereby oertiiy the abwe is bue. mred. and SiB�+e of a�u Dam sigied
m�te.
Y�ifyi�g edim' Si�aNe dPudlv Oate sg�ed
�Sv' �� ° � t`.-. . ...�...., i?C�h -.?`�'��SVlf/DARD'.DEDUCTIOtJ/1LLOWAMCE, �. t.: .u� ��3a.. aS.�S'�� !kU� l.;it
20 _ Pey 2b
� Lesser of 1rz Fiomestead
Vahiation orf35.000 s
Sigahue olAudM � S�W�