HomeMy WebLinkAboutHomestead_Neuman (3)CLAIM FOR HOMESTEAD PROPERTY TAX
' ; CREDIT/STANDARD DEDUCTION
` -' Slate Form 5673 (R8 / 7-07)
PrascnLed by Ihe Departmerrt of Loral Govemment Finance
INSTRUCTIONS: See reverse side /orfiling inshuc6ons.
�� FORM
HC10
��� ��w
YEAR
i cwe> �� �.i� � r L.Q.c ,J�.11Y1'i A P�ifif�th�t QiQ(�� 1 st day of March. 20_
I(We) oaupied as our prind place oi r idence the idlovring described real property fa which a Homestead Property Tmc Credit is hereby daimed:
' I(We) amed ❑ Are buying under cantraC �a� ,G���
J Have a beneficiai interest in ihe entiry Uat is liable fw the property taxes on the property ar�A�$(d9Vrg��r�e[ty or is buying under a contract.
Ai1DITOR
tt buying on conVact, Fee Simpe ownefa imme
cartraa is recorded
Twruhip
Taing district
Record number � Pape
�numlber legal descpnption Is ihe pro��ty yin�question:
I�+–��–���d I. '�� O I LY Keal properry ❑ Mobile Home (IC 61.7•7)
tl erry portion of Ure reside�Nal sinxtura or the land nd erzceetlirg one (7 ) acre ihat im�a�ely surtounds Ihat slnx�.YUre is used b p�oduca incorrre, dwcriba Ure use and porlion
of �he property uU6vd �n praduce inwme.
County
Tavnship
I hereby certify the above siatemenls are W e, cortecl and complete.
(number and shee( cily, state. and ZlPcrode)
Land not exceeding 1(one) aae immediatety
surrounding residential improvements.
Other land
Tdal land (line 1 plus fine 2)
Residential improvements wMnualty
Dwelling
Assessed Moble / Manufac4ired Hane
Garage
Oiher improvemenfs
TUaI improvemenis (f'me 4 through line 6)
Tdal velue (line 3 plts Gire �
I he2by certify the above is We, cartect, and
complete.
Veiryinp adion - Siprqnne otAUd�iw
(�)
(2)
(3)
�4)
(5)
(6)
(7)
(8)
SignaWre ofAssessp
p P�Y 2� — 45.000 for 2007 pay 2008 42.000 for 2010 pay 2011
Lesser of 12 qq.000 for 2008
Nomeslead ValuaCm PaY Z009 41,000 for 2011 pay 2012
a � 43,000 for 2009 pay 2070 40,000 payabte after 2072
$
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Date s9ned (monlh. tlaY Y�)
Date sipned (mm(h. day. yeaA .