HomeMy WebLinkAboutHomestead_HallCLAIM FOR HOMESTEAD PROPERTlTAX
CREDIT/STANDARD DEDUCTION
t Siate Form 5473 (R6 / d-03)
Presaibed Dy the Department ot Local Govemment Finance
INSTRUCTIONS See 2verse mde forWing instnic6ons. �
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FORM � YEAR _
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n MAR 2 3 2p07
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c dy that on lhe ist daybfvMarch, 20_
I(We) cc pied as our Gpal place of residence the following d ed real prop for whi a Homest ad�$�SN�I G£.YxAd�sxlefep��daimed:
❑ I e) owned Are buying under contract
� Have a beneficial interest in the entity that is liable for the property taxes on the property and ihat owns lhe property or is buying under a conVacl.
If byvg m conVact, Fee Simple owners name
Recordefs olfice whwe conVact is recorded
L�^.+�`�'��'.������ia'��:��- --tis'i?�S'.a°
County Tamship
tl any poAion ol Ne tesitlenlial structure w the Wnd noI exceeding one
ot the properry utilizeA b produce income.
immetliately
�
Record number � Page
(tlry, tmm.
pro�question:
Real Droperty ❑ MobOe Homo (/.C. 61.7-�
�hat �WCture is usetl lo produte income, describe �he use and ponion
'y ��k�k� yp � " � � �_�"� °� `Y''TRUETAX � ASSESSED VALUE aHOMESTEAU ' `"',- r N-RESfDENTIAL�'" s�
q������A�ES50 � S�E ONLY i -._� �i �� �.-s�'',4VALUE�.�.,Y � AT 100% OF-TN �"� ,`i`�,-VALUE�� �'a�r�y s� VALUE �`�sd�'' ��`
� t� cc r �` .&[i'di.. �.�.,-. �_
Land not exceeding t (one) aae immedialety ° �"�..��i; ��' �.,. �-� � .,.SC,y
surrounding resiaen6al improvements. (�� '�',� E`-�' 3�� �,75�� '.`
�v.,wr S7'�7 .-.,_rt,. �__"
Otherland (2) +`�` ��j�k�
:'S�;�..-�_.;1:. �,.
To[al land (line 7 plus line 2) �3)
` '�.�i^ rki�d�'iyy,'-zs� _. �.i
Dweiling (4) i;xz-k.='"_�.>S�•�:`�'ST�.,.
c f
�Residentiel improvemenls or Mnually
�:-:'vEr`aa�[:_ a;r��a.':1�e,�i+-.�:��
Assessed Mobile / ManufaUUred Ham Garage �5) ��y#,F�� �r '� �w�"£''
�, ��..+r�����'`�s���'%�Y��
sy� 3, i _
Other improvemenis (6) � Y* �� ' r�"` � �
. a �:Y,'? �1i�
TUaI improvemenfs (line 4 through line 6) ���
TUaI vatue (line 3 plirs line n (g�
I hereby certity ihe above is We, correct, and Signature otASSessor Date signed
complete.
Veri(ying aclion - Synature of Auditar Oate signed
'������c':' �.��?._�i��.�ti z�`'7��".s `STANDARD DEDUCTION�ALLOWANCE rt�..Ki,�.��'v��,.`��u's,�F":'-� �:_F��.sii_i��:�-N�..Y.:..�-
20_Pay20_ -
Lesser W 112 Nomestead
vaWanon or E35.000 5
SynaWra of Pudda " Date signed