HomeMy WebLinkAboutHomestead_Muncy (3)°�"o CLAIM FOR HOMESTEAD PROPERTY TAX
y - r � CREDIT/STANDARD DEDUCTION
Stata Form 5673I� I 7-07)
•� � ` Rescrihed by Ihe Department af Lxal Governmeni Finance
INSTRUCTIONS: See reverse ude lor filing insGucbons.
F R1�! � � YEAR
HC10
10�U
�(We) certify ihal on the 1 st day of March,,20_
I(VJe) occupi s our principal place of residence the (dlowin escribed real property for which a Homestead Property Tac Credit is hereby daimed:
'� I(We) owned ❑ Ne buying under contract
Have a benefidal interest in Ne entiy that is IiaWe fw Ne property faxes on the property and that owns fhe property or is buying under a contract.
It buying om m�lrac� Fee Simpe ownefs nama
Recorder's of5ce where conUaC fs recortlaE
County Twnship
fown. tv.vnship)
Record number � Page
Pa¢el number Legal descnpUoyn� Is ihe property in quesUon:
N S // � � � �� � � I ❑ Real ProPertY ❑ Mobile Fbme (IC 6-1.7-7)
If any pwlion of Ihe residerM1ial siruclure w 1he IanE not exccedirg orre (7 ) aue Ihat'unmediately wrtounds 1ha� sVUCture is useC to produce incortre, dex.nbe the use and pwtion
of Iha property utiGzetl tn pmduce income.
�l�-��-o�-�0�3 -ooi, 9iG-oa-�
co���Y
Counry
I he2by certify the above statements a2 true, cortect and complete.
!"�
Gaimant
Toxnship
�_ � � . .� . �
��.•
Land not ezceedirg t(orre) acle immediately � �� �, �
surrounding residential improvements. (�� � � ' �
Otherland �p) . ,- _
Total land (line 1 plus line 2) �3�
Residential improvemen4s wMnualty �elling (4) , _ - °� - '
� ,..,
Assessed Mobile / ManuFacWred Home � - °' � -'
Garage �5� .. , . -- -.
Other improvements (6) . .
Tdal imprwements (line 4 through line 6) �7�
TUaI value (line 3 phs line n �g�
I hereby certify ihe abwe is We, correU, and Signawre otAsseswr oate signed (monfh, day, yea�
wmplete.
Veifyi�g adian - Signawre oflwditw Date signad (monN. daY. Y�/i
� . - � � � • •
p— PaY Z� — 45.000 for 2007 pay 2008 42.000 for 2070 pay 2017
leuer of 1/2 qq ppp for 2008 pay 2009 41,000 for 20N pay 2012
Homestead ValuaSon $
w 43,000 for 2009 pay 2070 40,000 payable after 2012
SignaWre of �iw Date signed (man7h, day, year)