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HomeMy WebLinkAboutHomestead_CooleyCLAIM FOR HOMESTEAD PROPERTYTAX CREDR/STANDARD DEDUCT10Id smm ro� sar3 (rn i so� P�eaabed by tl�e Departrraq al Loml Gorernrad Fnm�m lNSTRUCTIONS: See reverse side fw /dtitg 6�sbuc8ions. •....��5`c�.. . rrY...... .. �.r�... . aiY. /a....�i�.. �� �� FORM HC10 � I(1N6) � {� Y\ ce�fy R181 Vfl I�C iS1 dfly.0( Yef�; 20_ � M�) �+P� �� P�P� P� of residerice fhe 'ng AesoLetl real for whid� a Flamestead Property T� Gadit is hereby daimed: � i�� �a ❑ nre n� �a�. �„u�x 0 C T 2 7 2006 � Have a benefidal mterest m tl�e entiry Ciat is liable 6w ihe poperty �xes m the popaty and Cat owns Me popeAy or is buying under a contraet • � :i-!�� �:%fi.:'-6.`7*`:, i.N� tl euyig om m�tracl. Fee Simple w�nefe �wre '.: I�mrdafs d6cs whera mtlract iu rewded . . _�'r t� .v+- :' '.�a�r: �ry � . ransbp Harry Por6on of ihe resdarNal strucWe or tha land nol muedng one d the property iAif�d lo ptoEUCe vimme. � l/li n // i� (d��'t"� r��nv��i�c Rewd numher FSCRIP,TION�' � -�S 'u :.:+.. , Ta,a�g di9riG (cl�: fmm, tw�nsfdA) Page �/�( la the property in q�nn: �(J ❑� P�P�Y ❑ NohiM Hmia il.C. 61.1-n � inrted�ly a�rtaa�A tlial �ie ia usatl b proAice nmme� tlesaibe tlie iae md pw�pn � II� '� � �� � � `- . ;,... �,a'.Q"i . ,.., �,1i':.��.PROPQtIY,OWNFD-�.BY�CL.AIYANT;d�OTFiEit COUNiIES-': .� , � -..�� �j� . -��...:�,. =z'.. �h Caunry . Tdnnhip Caunry Twv�hip � nereny oerMy aie etwe sm4ertients are aue, mnea and carpem. 'B a14ar . (nurtsematreet ' ffiem.Z�mde) S/ 0.54./r /i .� TinlC.�?sTti ���e -. , ��` rs v,� .. ii+�'�',,�:`�zr�•y�- �"�7RUE�TAX % ASSESSED VALUE FIWff_STEAD z� JcNOH3tESID@IML� ".. - ,ASSESSOR USE dlLYf,�i t�'�+�rL Lnr'�,y YAL.UE.'�� y, .� "ATa100%OF�TTV� ''�t � VALUE �:.x: " . b �.k'y,G:c�VALUE." �`"?. hi �' Land �wt e�ng i(one) aae irm�a�ty s� ar,r�. �'�';�x�,�,nti�a; �y,r� y�,. ��) 'a f wy. w. }�t- /� z..'� � s�uiwadirg residential inqxovemefrts. :�f�a.r,34�.,'�.o mt,i st�.�;%� ' Olha land Z r. i. S J,�Sp , . ( 1 ��., 'j � r, s . . : i' �. f .p.. Tcfal land (line 1 pkis I'ire � �g) � i s i�S`W."'i` z.cfip��x . DwePrg (4) _'t� "'�.7'J' j��f*�' �'. '" Reseential erQrovertents or Mm�aly Fw .",`?���'�'."�':r?`.�.�r. s r-s..1°;� .+:. x,1 � MOWE / �/2fR1(BC�fEd HQfIB ' � S� �'+ A� ? � wk �. f�:. G3re88 (5� .,. f�.E'F�,�S �� ���' �i.5 f�e. .. #u,.x:� 1i..�3�5 - ., x ..f:, �., _ " Other improvements (g) -:'',.°.`i4:itk�',�En 'b-`:.:i;•: TUaI "vnprovemeMS (6re 4 throuyA 6ne � i7� Tdal value (f�e 3 pGs 6ne n (g) 1 hereby certify the ahove's true� owreU. ard SiB�ae o(bemw Date ai{p�ed cort�plete. vei�yog eNm - S�pmffue of Audmr Dam epned � �t-;�� - 7;m�''. 20 _ Pay 20 _ ��r a �rz rw�d v��, o. sas.000 s