HomeMy WebLinkAboutHomestead_Carlisle (5)�...�n v
e./ � CLAIM FOR HOMESTEAD PROPERTY TAX
ia�': CREDIT/STANDARD DEDUCTION
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�;� State Porm Sd73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side Ior filing instructions.
FORM
HC10
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YEAR
5
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I(We) ���, L�J(.C(1)(aJ ceriify tha� on the�is day of March, 9�
I(W; occupied as our principal place of residenw ihe following described real property for which a Homestead Property Ta. d_ x Credit�hereby claim�d:
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�(We) owned ❑ Are buying under contraa qUDITOR�
� Have a beneficfal interest in ihe entity that is liable for the properry taxes on the properry and that owr.s the property or is buying under a contract.
CONTRACTRECORDED
If �uying on conUacL Fee Simple owner's name
Recorder 5 otli�e where coniract is recortled Record num6er Page
County
Parcel
legal
PROPERTV
Ta.ing
�_' � ^ � J �vv l[.NJ..�.FYY Lti�.0 OJ
If any ponion ot Ihe resitlential stNCture or the lantl not e tling one ( t) acre ihal immetlia;ety surrou. ds that tmctur is used to produce IMAme. describe ihe use and ponion
of lhe property ulilizetl ;o protluce income.
PROPERTY OWNED BY CLAIMANT IN OTMER COUNTIES � '
County Township � Counry - TmvnShip
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certify Ihe above statements are true. correct and complete. I Signa;ure
(number and street.
ASSESSOR USE ONLV TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not ezceeding 7(one) acre immetliately I� � I I
surrounding residenhal improvements.
Otherland (p)
Total land (line 1 plus line Z� (3) (
Dwelling (a)
Residential improvemems
Garage I�g) I
Oiher improvemenis (6) I
Total improvements (line 4 th�ough lina � (7) I I
Total value (line 3 p65 line 7� (8) I
I hereby certify ihe abOVe i5 true. corteci. and Signamre ol Assessor I Date signed
complete.
Verifying action - Signa:ure of Audiror I Date signetl I
( - STANDARD DEDUCTION ALLOWANCE
79_Pay19_ I
Lesser of 7/2 Homes�ead
Valuation or 52.000
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Signature of Autlitor �a� y_lo '
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