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HomeMy WebLinkAboutHomestead_BiggsCLAIM FOR HOMESTEAD PROPERTY TAX CREDIT /STANDARD DEDUCTION State Fvrrn 5473 (R7 / 5-M Plea rbed by the Depertinard of Local Govenvrerd Finance F YEAR ,`: • ' ,:..... _.. CA710N-STATfIIFJiT: -' I (We) certify tl�gnCC the 1sf'�y 2D — I (We) occupied as curt principal place of residence the following described real for which a Homestead ProperTj d+eQ�Vdvl'� daimed: -0, I (We) owned ❑ Are buying under contract AVOITpR Have a beneficial interest in the entity that is liable for the property lazes on the property and that owns the property or is buying under a contract. .. - _ •' _ CONTRACT,RECORDEDt%'�� C burying on contract., Fee Simple owner's name RB=deea of5m when, contract is recorded Record number Page PfeoPEfmDFSCRItmoN -`; Canty Tumship Tang d- - (dy fawn, townstw) Parcel nonber - Legal Is the property in question: Raal property ❑ Mobile Hone(I.C. r,1.1-7) C arty portion of the residential slnrmae c the amm re,. o... -.acing (1) ace Cal inrtedatdy svrtaa4i that mcoane. describe the use and pabm of the properly W&md to produce income. i _. ,, PrzoaEfm oweEO sKCLAmAwr em'oTNtai couKrffs.. �, County Township County 7owrahip I hereby certify the above staterrments are true, coned and complete. Signature d daiman (number and soast, city, Stan, ZIP Cade) C1 a -•" `4 r E , ;; ' rY rF, . r t + ,1 ASSESSOR USE ONLY '?`} n , TRUE,TAX ! 'ASSESSED VALUE r F105�S7FJ1Di - �� 'IJ NONRESID9tilAL ". `l "'.. (?rr VALi' ;'AT 100X OF TTV,m t. r°' YALUE.,. , : a ct.k2Y41"C,� VAL.IIE.i_a�'..�o.'. . t.', r,. +.' .. ,. , ,.s . ,.•! u >.... - , ✓r Land not exceeding 1 (one) ace ifrtmediafely -`a WI sraroundi g residential improvements. Other land (2) Trial land (Im 1 phis fare 2) (3) LraF 3- -3, f•, '� Residential urprovernents or Annually Dwelling (4) F�� tW'.+i .' z Assessed Mobile / Manufactured Horne Garage 5 �` v{ ,,,,t��9�'`�y� $s `, ,'( �r o �lhr , ,J ( ) r K iak •,k' n5i r�C!r �E+ Otter improvenments (6) Trial unpromnerds (here 4 through fine 6) (T) Thal value (lure 3 plus fine 7) (6) 1 hereby certify Cue above is true, aimed, and complete. Sigriatrae of /naessm Date signed Vatfying action - Signature of Auditor Date signed , OWC 7XSTNDARD:DEDUCTION'ALC 20 _ Pay 20 Lesser of 12 Homestead $ Valiratim or 535.000 Signature of Auditor Date signed