HomeMy WebLinkAboutHomestead_McFarland�, CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
� S�ate Fwm 5473 (R614-03)
Prescribed by the Department o( Local Govemment Finance
INSTRUCTIONS: See reversc sidc lorliling inslrur.lians.
r� �
��� FORM
HC10
YEAR
��e) � r � ��� ert� �at on the 1 st day of Maich, 20_
I(W ) occu ur p n ipal place oi residence lhe following described real pmperty tor which a Homestead Property� Credit is heretiy.daimed
�
I(We) owned ❑ Fve buying under contract /�,.�v-�{���1.�.��-f
� GI°SO'd C��U�TY hU�:7f
' Have a benefidal interest in ihe entiry ihat is liable (or ihe propeAy taxes on Ihe property and �hat owns the property or is buNng under a wntraU.
I( buying on conUad, Fee Simple owners narne
Reco�dels ofice where contrea is
Counry
Parcel
Tavnship .
v/ / vi✓Vp(" I �.�Q(i
If any poAion of the residential sW cWre w �he land not
ot the properry utilized to produce inmme.
i�halimmetliat
/ 3.4�
Record number
(ownshiP)
Page
� � Is t�e property in question:
�tB� p�operty ❑ Mobila Homo (I.C. 6f. f-n
wrrounds that swchue is usetl to produce income, descnbe Ne use and portion
� � ��ASSES O ;��� `S ON Y'��-�st rr -r.' ��TRUETAXr� �, ASSESSED VALUE� �HOMESTEAD't` .���... �
� f � �,�p `�NON-RES�OENTIAL���
��VALUE� ea.'ti'-'Y+.� �/1T�t00Ye'OF"TIV y:rVALUE s '• VALUE Ltit't-"�•
'a`'r-••v...�`._A�'�.�.^a` . 'T.§;.'T r� ata.- . �...+,.c.,>_-�:J '.�.� z- `�` -�.?Cs
.��fs.r.
Land not exceeding 7(one) aae immediatey ��-�.�!`s3,,,�H"�e�'���'�?� '�.�Y'.,�.
surrounding residen6al improvements. (�� _� ���'"�-����,��.,�.;, ��.F;
Other land . (2) ����r� -
�,3.u._
Tcfal land (line f plus line 2) (3)
�„2 sy� x �T" -�.�y;s ,.i
Dwelling (4) �r��=-. ;'� zs..y �'a
z�'FEa��.a;`��✓���� �
ResiCentiel improvements aMnually _�����_L_ �� �
Assessed Modle / Manufaaurad Hortie Gara e 6 -. ����
9 (5) . s�'."�3 ,�!� r
�'c' �' ..:f- �s � aa=,.!
Other improvements (6) ���'����'� �"
�"i^=L3.'�'�-�K��
Tolal improvemenfs (line 4 through line 6) ���
Tdal value (line 3 phs line � (g�
I hereby terti(y �he above i5 We, corted, and SignaWre of Assessor Date signed
oomplete.
Vaityi�g actbn - Signature otluiditor Date sgned
�
�^K�'�;'°_�.,5 �.4at�.a'r`:�.�s�-'#_�,�?��>"+:'�,�::STlWDARU'.OEDUCTION'ALL'OWANCE�'.,-u��1`.'����s .����t.:.�ai�.+���=";i�
20 _ Pay 20 _
Lesser of t!2 Homestead S
va�ua0on w 535.000 -
Sgnature oflwddw � Date signed