HomeMy WebLinkAboutHomestead_Burton (2)CLAIM FOR HOMESTEAD PROPERTY TAX
` - • � CREOIT/STANDARD DEDUCTION
Stata Fmn 5673 (R8/7-07)
��.�. 1 Aescnbed by the Depanment of Local Government Finance
INSTRUCTIONS: See reverse side /or filirrg instrucfions.
RM YEAR
AUG 0 4 2008
I(We)/��-9'O"'u-f %� 1'�((17�,•• /�, z]� � GyBSONCOUNTYY WIIUn
�_ certif that on the i st da of March, 20_
i(VJe) occupied s our dpal place of reside the following described real property for whicn a Homestead Pmperty Tac Credit is hereby daimed:
� I(We) owned ❑ Fve buying under contract
Have a benefidal interest in tlie entity that is liable for the property t�es on the property and that owns the properiy or is buying under a contrad.
If huymg on cmlracl, Fee Simple ownels name
Recorders office whera conirad is
Counry
Pa¢d number
To.mship
descAption
H any poriion of lhe residential swcWre w tha land not racceeding one (1) acre Ihat
of Ihe prapeity W fized In produce inmma.
a�-�r-�a-��-o�. s�s-o��
IRecord number I Pape
•
sbicl (cdy. town, fa.mship)
/t.L�C�i�d �`-J
I Is Ne proparty in queslion:
❑ Real p�operty ❑ Mobile Fbme (/C 6-1.7-n
wrt0unds Ihal sYn�cWre is used to produte inwrtre, descnbe Ure use and portion
._ .
. . .. . .
,, . �
Land not exceeding 1(one) acre immediately (�> � . .
surrounding residential improvemen[5. ' ' ' ,- � � -
OMer land (p� � � �
Tdai Wnd (line 1 plus line 2) �3�
Dwelling (4) -
Residentiai improvements or Mnually '
Assessed Mobile / ManuFactured Home �,
Garage (g) ., ,',...... , .'
Other improvements (6) ,
Tctal improvements (line 4 tlrrough line 6) �7)
Tdal value (line 3 phs Irrre n (g)
I h2reby certify fhe abOVe is We, twred, and signawre atASSessor oate signed (mxlh, day, yea�
complete.
Venfying action - SignaWre of Audibr Date signeA (mmfh, day, yea�
� . - � � � • •
�_ pay 20 _ 45,000 for 2007 pay 2008 42,000 tor 2010 pay 2071
Lesser of 12 qq,ppp for 2008 pay 2009 41,000 for 2011
Homestead Valuation �Y 207 Z S
or 43.000 for 2009 pay 2010 40,000 payable aRer 2012
Signature of �mr Da1e signed (manfh, day, yea�