HomeMy WebLinkAboutHomestead_Fletcher (3)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fam 5173 (R614-03)
Pres�bed 6y the Departrront d Locel Governmerrt Fmmroe
INSTRUC710NS: See rewrsa ddf b fBSp i�ffiuc8iont
FORM YEAR
�� �H� �
�� OCT 1 0 2006
i M'e) `i— U'" i ! � �
certiA'nIF16n We �F'si ba� o°tivlar . 0_
I(We) occupied as our prin ' place oi residence e ollowing described real property (or which a Homestead Property Tac Credit is hereby daimed:
❑ I(We) owned ❑ e buying under contract
' Have a benefidal interest in the entity Uiat is liable (or ihe property laxes o� the properly and that owns the property or is buying under a wntraU.
If buying on conirad, Fee Simple ownefs name
Recorders ofice where conUacl is
County
Tamship
Record number � Page
arcxi mcer � i esc D on // /� / I Is Ne propert�i+� quesUon:
�i -� a G -� i�� �� , �� .ti � � f,
/� �L(.l�V tiJ.f.ea.(/ o�l X� Real propeRy ❑ Mobile Homo (/.C. biJ-�
If any poNan of Ne resiEentlal sWqure or the land not axceeding one (1) ace Ihat immeCiatety wnounds Ihat sWGUre is used to produce income, desaibe ihe usa and portion
of the propery uG1aeA fo p`oduce i�ome.
a b-��-�'1-3o�-oby���e-�a�
Counry _ � Toxnship
I hereby certi(y ihe above statements are W e, corted and complete.
(number �nd st�t, ciry, state,
County
ot
Tavnship
��� ��+-'� ��i '�� ���""r�'���� �"TRUE TAX � � � ASSESSED VALUE �HOMESTEAD�� ;"' � NON-RES�UENTUIL� ��-
� ASSESSOR USE ONLY.���z�-� �.� .ia� µu ,� ���.eVALUE,�� ��� 3; VALUE -T�-�
�:�a, i:��"+)°Y�`"6_g!'-�'--:,..,`_'r""�''�"- �1`�rYALUE�.��AT700%'OFaT:TV £ `rz�_.,.;....-a.,Tla� a..x'._
Land nol exceeding t (one) aae immediatey (' � ��"`_����� `r�"x' �� '� �;
suvounding residential improvemenfs. x x-�'h�����;
Otheriand ��'�'�� �' `�''�`'
(Z) r�c7����:5�'�
:�
Tdal land (line 1 plus line 2) (3�
. 4" �. r �7mi '-� w` �
Dwelling (4) .� g��" 3s ��
�°'* s
�Residential Improvements ar MnuaOy ��`�'��'�'�`�-``�'�'�^��
x ""�y,
Msmsed Mo60e / Manufac4ued Harro Garage (5) t�"'?' t,{s {•� •°- �� i
�� ��� �< _
.:s� �w�.: ., �;,;
Other improvements (6 ��"sn'A'�`�����
) -,.�.� *.. �e:.-,��r
Talal improvemenis (line 4 through line 6) (��
Tdal value (line 3 phs line � (g�
I hereby certify the aboVe is We, corred, and Sgnamre of Assessor Date signetl
complete.
Veiilying actbn - Sig�ture oflwditor Date signed
��(,.�-vt,�;�'�'��=}��`�.','-�T;���,`�'?�,�?`S��LSTANDARU'.DEDUCTION'ALI:OWANCE't:- . : �-� �•. ,•-"e� - -x�
' ,,x:�+��nu� Y..�`3o��.t ���s�.'.�'��`�4%-:;__
20_Pay20_
Lesser ot 1/2 Homestead $
V9t18LOf1 or K15.000
Sgnature otAuditw � Date signed
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