HomeMy WebLinkAboutHomestead_Carter (4)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
�� State Fwm 5473 (R6 / 1-03)
Prescribed by l�e Departmenl of Local Govemmenl Finance
INSTRUCTIONS: See revcrsc side lor liling insWC(ions
FORM YEAR
� HC 40—.
�(We) �'� .C�('l!�(S! �iC.VI.� ��. Y(/ 6/l (�i �/��-�J(J I(Il certi(v iha4o( th��e./f't day of Mar , 20
I(We) occupied as our principal place oi residence Ihe following described real property for which a Hoin Prope��T"=a Credit' ' r y daimed:
@S�fB�Ui..,.... � n�vliv �
❑ I(VJe) owned ❑!ve buying under contract
` Have a benefidal inlerest in Ihe entlty that is liable for the property taxes on the property and that owns the property or is buying under a conVact.
I1 buying on conlraG, Fee Simple owners name
Remrdefs oi6ce where conVacl is recorded
County - Tamship
Pa In er L
-Q��%4� �
H any portion ol the residen�lal structure w �he land not
ot the property uUiized b produce income. �
Remrd number � Page
Tating tlislrict (dry, fown,
is the property in quesUon:
� Real properry ❑ Mobile Homo (I.C. b1.7-n
iy�c,j[�bswcture is used to protluce income, descriEa the use and ponion
-������ 9 ��� �� � �TRUETAX��n �ASSESSED`�VALUE �HOMESTEAD�` NONiRESfOENTIAL�i�-'
� A�SSESSOR�USE ONLY��� �=�:��UE��.� �AT<100°%OF�Tf1/� �..LVALUE� ��y :. VALUE'�=�.�'�''�+�v'.,��,
�, X�5'-7".d�.".4�T:�". .rt�?iz�s„-.,�...�.aZ:.,�
Land not exceeding 1(one) aae immediately ,� '�.�,.$�� R`��# ��'°%�g`z.'$„
surroundingresiden8alimprovemenis. (�� a���/"]_(�'`<.��, .��+�"f' s3
Y' S
'{•-""�e:� Fyz����..�`�
_A'� �
Other land (Z� ' ` . Y:� � �=
;`.an� _-x,a.:�p�-. _ -?�?
TUaI land (line 7 plus line 2) �3�
� c ,�. � P.;; ��:�
Dwellin9 (4) � .��,..,'�' � ,�,;�{�
Residential Improvemenffi w MnuaOy ��""
0.ssessed Moblle / Manu(acUtred Homa }�-.k`�",'"- �.�,� fi'
Ga2ge (S) �g�.'�s� y� '�
�"�C,��„*�<������^.. �� '�.f
•c.�i`?,F,�" � >
Other improvements (6) �,��.� ����
TUaI improvements (line 4 through line 6) (�)
Tdal value (line 3 plus line n (g�
I hereby certify the above is We, corred, and Signamre otnssessor Date signed
complete.
Verifyi�g action - Signature o(lwdiWr Date signed