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Homestead_Hardiman
CLAlll9 FOR. HOAAESTEAD PROPERTY TAX CREDITiSTANDARD DEDUCTION sme Fonn 5173 (R7 � s-0� Ae�bad by tlie Depatrr�enl d Loml Gouamc�d Fiwim INSTRUCTIONS: See raverse side Iar fil'veg instruc8ions. . _ � � ; s � : i ; ; i�; � , _,. . . • � . .� . . . ... .. ... . . . . ' CHtTIFICATON STA7E1�7iT. � .; ;..-, . ` . ' ' �' , . �(r,: ...._ . _ .. . . , .. ._ ....._.. . _ ... _. . . ._.. ._... . . ._ _ . ...., .�. I (VYe) • �}ry¢}� ��y o{ �y�� p_ I(We) ocwpied as aa prvidpal place o( residerce M�e foAowirg desrnbed real property far whidi a H°�i8�3�I7T� 4�i�br da�mea: �� i�) � ❑ Are buyug unda cantract Have a benefidal inffirest m the entily tl�ffi is liade (w the property �ces m ihe popaty arW Mat owns Uie property ar is huymg urMer a contract if al)910 M�l1V3L� F88.....yo OMIC/8 R3llIB �ryv, � .. ��:x' .. :A:S.,i�.. �e11 .4 Rewd number Peqe -•e;,ir.t..:."r:.:rl . _..,,.r �.5:�3 narmer Legal tlesviptim is Ihe PWeKY n N�� -1a-07-aEXf -�,2g ❑�� ❑ �b�n.�.6,.,_n H a�y G� af the ,�id� �e v tha ��,) �nmiadacd„ a�rtou� tl� st„cE,e ia �aed lo W�e nmme. dasafie Ihe �ae md Pv4w, dOre prape�ly �Di6mE b pro��ce uiaome. / .- . . � . � •.: . � r � ,.r TRUE.TAX �� ecccccFn VALUE HO��S7EADi - oy � NON�RESIOEt�IiIALYn?j�'i`�� . !�_.l _� .: ASSESS�t USE ONLY� � � � � � .yq�E.:- , 'AT.10M6 OF 7TV , : .ypLUE .r ' .'� r.', �..�. �✓ VqLiJE f; .�s;.k,�'kC's Land rrot e�ng 1 (one) acre imr�ediately ' ; °�� .. ,���� ��j-�� �v�%» s�mowd'vgresidentialirt�provemen�- (�) `�r�; J>a".a:1'x `.kz��ia�i�,��c� VY�d �dY ••. h . � a �n �2� .L.�j 1� 42 Tat� land (I'are 1 phrs 6re Z� �3) , � �� Ft �: ..� �^� a OweR 4 �� s z;'1". �C �y.� ,tA'4 q� 1� Mal'rFt$'y. Resieentia�'vnprwementsornnrn,afly re ( 1 " r .,,,..ta:�'c p3;r.+t�.;������✓�*,: AssesSedLlodle/M�ufe�aedHame ��� (�� ^ r�R �i��� P ���g.�-r2 ��.� r F.�,�_ -:�,�h.�. s?'r`�s�ls�� � ,t.- I^Lfi,.k �IgAf1�fOVfff18f1�5 �6� 4 �.'i'��� '; , Tdal urryrovertierAS (6re I fhrough 6ne 6) i71 Tdal value (I'vie 3 pds Gne n (g) I hereby certify the above's We. oarect. and 5i8�hve of Asemsar Data s'gied �- Vairying adian - Si�ahae of h� Dam signed Si�a�ne of Auditar 20 _ Pay 2b _ Lesser of 12 Homesiead V�uation w 535.000 E