HomeMy WebLinkAboutHomestead_Fisher (7)CIAIIW FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
sma F«m u7s (Re � am)
PrearnbeC M tlro DepaNmnt d locel Govanrtant Finarke
wsrRUCnoNS: s� �en�as ara� b. �q �r�aen,mwo.
FORM YEAR
HC10
Cj���.Qr a �, a c�
�(We) � L1 U u}� �ti��i a� (�� certity that on the 1sl day of March. 20_
,I{(VJe) occupied as our principal place of residence the following described real property (or which a Homestead Property Tac Credit is hereby daimed:
� I(VJe) owned ❑ Are buying under contract
,� Have a benefidal interest in the entity that is liable for the property taxes on ihe property and that owns the property or is buying under a conVaU.
If buying rn conirad, Fee Sunple owners name
Recordels ofice where conVacl is recordeA
��.'��'k��::� �'c�i'�-�Y���
County Tnmship
�_� "l — �\�...� Cil"'�' ui � x
H any ponion of Ne resitlrnUal swaure w Me land
ot Iha proPerty util¢td to produce ir�coma.
ezceeding one
Tacing Gis ciry, town,
Is the pmpe
�
immediatxly wrtounds that �
Record number � Page
question:
ipal property ❑ MabOe Hwno (I.C. 67.7-n
�e is usetl b produce income, tlesaibe the use and poNon
. __ .. .�__—__ __. _' _.. ._ . ,_ ..'. ._.— ___._�
�-!3.z." ��.�,�� ., �: '.�'s.,�"r-'��?��.—�'`�PROP.ERTYAWNED;BYCL''AIMANT,IN:OTHER`COUNTIESF�x:v.�`�'�'�.�:3�.s�?''�'� r.`:.�-��"'�s��yj?#4;;
County Twvnship County Toxnship
I hereby certify the above statements are We, corred and complete. Signatur aimani
� reu (number and s6eef, city, s(a(e, ZIP cade)
# `�'-"�' 4��"���`����; '��,� +'�"TRUEvTAX ��F ASSESSED VALUE �HOMESTEAD� 5�'� ..1 . .. 4
��' yASSES50R USE ONLY � � �^�=t ic i .e �'ofNON-RESI�ENTIAL �;?
-��.. �&�T.ai� s�?'.ai1'3_SF'3�i'::�.a,'����-`"�`'Ua�'. � VALUE ��,g� ATy100% OF�'TN� w �-�.�VALUE�„�4'�- �s����VALUEz?��'t'�'x„+ -;Z.�j`.
Land not exceeding 1(one) aue immediatety ``� �`�t-;�.-�'���`�- ����
surrounding residential improvements. �� � � w��?;�x�� E��.,�.°�,�'` �__:
Other land �Z� ��_�,�����.-�� �
�`c�
Tdal land (line 7 plus line 2) �g�
Dwellin ''� � �� �`��rn�' ;
9 ��� 4N3��' `�' �f �
�Residentiel improvementa a MnuaOy �'';°`C'!�"''�'�;�t4` Is''�'
Asaeaaed MobOe / Manufa�LUed Hane Gara e ' ''-� �f ���� ���° `�.� >
9 �5> '�-Y. �s�,t��.#.�'r��
� -ts�,�;'� .
Other improvements (6) � �' �-�
'�. r�
T�ial improvements (line 4 fhrough line 6) �7�
Tctal value (line 3 pl�s line n (8)
I hereby certify ihe above is We, corred, and Signamre o�t�ssessor Date signed
complele.
Vrritying action - Signature ollwdiWr Date signed
r .'
�„�'.c-_'-.`�:��"_w�'�"�r"�p :�.�i�.�i'v��s-`ST/WDARD:DE�UCTION�ALLOWANCE �:�n`t"'�{i=�wixz .�'''*.�S'.•A�.�!�?�'i�'sY� :ti
20 _ Pay 20 _
Lesser d 1/2 Homestead $
vauamn or f35,000
Sign tur of Auditw Date signed