HomeMy WebLinkAboutHomestead_Froyd�p ^H
, + CLAIM FOR HOMESTEAD PROPERTY TAX
� CREDIT/STANDARD DEDUCTION
��• J Slale Form 5473 (RS / 10-0t )
Presrribed by the Depariment ot local Govemmenf Finance
INSTRUCJIONS: See reverse side for filing insWCtions.
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I(We) / /`� " sL vV • cerlify that on e tst da ��
I(We) occupied as our pn ipal pla of residence the (ollowing desuibed real pmperty for which a Homestead Prope 1��jt�iih�}e�y qaimec
❑ I(We) owned ❑ Ne buying under contract
�-lave a beneficial interest in the entity that is liable (or ihe property taxes on Ihe property and that owns the property or is buying under a contract.
If buy'ug on ronVaq, Fee Sunple owners name
Recordefs ofice where conUaq is remrdetl
Counry
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If any rtion ol the r
of the property utilize
Counry
7amshiP V /I � V � �
Legal descriptlon
Tating dislricl (ciry, town, township)
the orooertv in
Record number � Page
�'—Q� I �nealpraperty ❑ MobileHOmoII.C.bf.f-7)
sWCWre w Ne land not exceeding one (1 � aae tnat immediatety sunounds ihat swcture is used to produce income, describe Ne use and portion
we inmme.
Twvnship
I hereby certi(y the above sWtements are We, wrred and complete.
street, city, sfate, Z/PCOde)
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' r�� '�S'.` �.i"T���:3^yu �� M4� 4Yt ._c� . . Z ,,,�-v� . .' . . fa. hJ.,
�-+-. ��ASSESSOR USE ONLY= .� � � TRUETAX�a" ASSESSED VAL`UE t�HOMESTEAD �' !� NON�FtESIDENTIAL
�-': �'���..�..-z"-�7:1#�";�r'-,y_����� ¢t-��.V{LL:UE.ie�.,� ;.ATx100%a'OF-TN �at'F.'VALUE+��- �:`��-i"to°VALUE i,#.� �a�
�'� �,e,..�. R"a �.�ri., ._..� ��..�..rr._•._
Land not exceeding t(one) aae immediately =� '�",�._s;��-� �" '"���"t^`^
J � S � T 3�tF_.t
sunounding residential improvemenLs. (� � �'���.-:tY� ��"��� s'
Other land ` � �
(Z) ay����f'-'�?
--�:.�. ..y :-?t3�5
Tofal land (line 1 plus line 2) �3�
�' 4-�%.�tL',,�-s :,c� �'�v�.�i+
Dwelling (4) y���t �w � �. :��q���
Residential improvemenLs
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Garage �5) ��,�F �, � >f�=.
.�s "� :�.t.�..•;�3- . �s'o,
" s-t �`�s"-�`-3'3
Otherimprovemenis (6) i �,�rY��
Tatal improvements (line 4 fhrough line 6) (�)
Tdal value (line 3 plts line � (g)
I hereby certify ihe above is We, corted, and Signamre of Assessor Date signed
compiete. -
Verifyi�g actbn - Signature oflwditor Date signeA
20 _ Pay 20 _
Lesser of t/2 Homestead
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Sgnature olAudifor — Date signe0
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