HomeMy WebLinkAboutHomestead_Getant�; CLAIM FOR HOMESTEAD PROPERTY TAX
• CREDITISTANDARD DEDUCTION
� � Staie Form Sd77 (R614-03)
Prescribed by t�e Departmenl of Local Govemment Finance
INSTRUCTIONS: See reverse side !oi /ilinq inslrur.finns
' .�.:.- c. ..
�d:'s:'-._i:;�i.y�.;:�.p'..�ti:�.�9:•;-;.':�w.,-=„_:',-.!::5:;`.:-:. � CFRTIFICAT
� � YEAR
FORM �
HC10
��e) ��w� cenity tnat on xha �t Q�y�f�11a1Er, zo
I(We) occupied as our rincipal place of residence the following described real property for which a Homestead Property�aHc rebit is hereby daimed:
❑ I QNe) owned ❑ Are buying under contract ��� /�
' Have a beneficiai interest in the en6ry ihat is liable for the property taxes on Ne pmperry and that owns the property df is �uy�i 1g n�a contract.
if buying on conlraU, Fee Simple owners name
Recordefs office where conlract is recorded
Counn Tavnship
P�c¢I ' ` � � ^� Legal description
V U ��
If any ponion ol Ihe r8sidenUal struaure w the Wnd not axceeding ona
ot ihe property utilized to produce inwme.
Coun�y To.vnship
I hereby certi(y the above slatements are true, correct and complele.
�tl�ress (number aM sfreeC ury, state, ZIP code) ,
PTION��:�� �
district (ciry, rown,
�-:
Rewrd number � Page
�// // � , e ProPertY i question:
���1 �� �� Real ro e
ia��� Q p D rtY ❑ Ma6ile Homo (/.C. 6f.1-7)
lAat immediatety sunounds ihal swUUre is uud to O���e inmme. describa Ne use antl ponion
BY
County
Tawns�ip
`�i��'� �3� "ASSESSORUSEON Y . TRUETAX ASSESSEDVALUE ��HOMESTEAD�' .NON-RESIDENTIAL, �
�:;_i: _�4�»4.4, ._. £ <._u�::4.m . :- -�.= t � ' VALUE �- .AT;100%�OETTV: :; ' VALUE , � ='� :'::_s�.. VAI:UE�:.
Land not exceeding 1(one) acre immediately %-r '. ,,
surrounding resitlential improvementa (� � . .. � - _ � �
Oiherland (Z) - � _ .
TUaI land (line 7 plus line 2) (3�
Dwelling (4) . ' ' ,�,'.�..... �. .. �.
Sl''rt<: y ' Y^i ��� :
ResidenUalimprovemanisorMnualiy �' _*.',t'_. ;V:
Kssessad Mobile I ManufaGUrad Home Garage �5) —
Other improvements (6) �
TUaI improvements (line 4 through line 6) (�)
Tolal value (line 3plus line n (g�
I hereby certify the above is We, coveG, and Signawre olAssesmr Daie signed
complete.
Venfying action - Signature of Fwditor Date signed .
_ " - � -- - -- `- -� STANDARD.DEUUCTION
20 _ Pay 20 _
Lesser of v2 Homestead
va�uauon or 535.000
5
Da�e siqpey� �� _D�
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