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Homestead_Northenor
� CIAIM FOR HOMESTEAD PROPERTY TAX CREDR/STANDARD DEDUCTION s,xe Fw,� srn �� i sou� P r;v�.vf Cy Ne De�brient d Lardl Go.�ermerrt Fean� INSTRUCT10tJS: See rever�e side /or filing ins6uc6bns. STATEYENT ,� �'� �:1 � % '— � NOV 1 5 Z006 �(we) 7� ULI (C(�LJ .(S/ 9'- XL61 �1a JJX Y/�J/1�K.a�C� C� certiry mae oo m1pe R� s�f uaary. m,,�q�g, I(We) ocapied as arc prindpal place o`: esidemn the tcNa.iry descn,�n.�f r,r�; propc„ rcx wr,icn a r�«rwsteaa Pm�i�P(�+at[g��4�J9� �1 I(We) owned ❑ Me buyvg unda contraG � Have a benefidal mterest in the entily fhat is liade tor Me property faxes on ihe propaty and tl�at owns ihe property or is buying under a contracL ' _ - '.^.CN7T.ACT.RECGn-7i EU�� : '. � � it hy'eg om m�lraG. Fee SirtR� awnels reme ` � � �e �b �s � Recartl number Page . .. , - .�. - ;,�,r . co�,q ro.�Mp . r. m.n. toq.i O/�`�D �� _� I �"�� �-�a —.�� n any portion or cne resde,aial sbum,e o. me Im,e nol mtceemrg ane (1) aoa ma+:nm�daley antaa� u� af tha poperty WGZe�I OroCUCn inmme. � .�� - /.,? _� �% ��-/Y.�Y� �� ,rl� ,�,: aea� ao�,iy ❑ �od�e � �i.c. 6,.,-n ra is used m ryoAca i�mrtie. tlasome Ihe �se md portion � � i ASSESSOR USE�ONLY .. r.�n.'�� LarW n� ezceedirg 7(one) aae irtrr�ediately - smounding residenfial improvert�ents. Olha lard Td� lard (/'oie 1 pk�s 6rre � Residential unprovemen4s a Mrwally �b� Assessed AAodle / AAa�wfacbaed Hon+e Gar.Me Other "vnp�ovements rual ur�provar�ertts (1'ne e m.�r..h ��w F� Tdal value (I'ure 3 pfus Gire 7) I hereby certify the above is We, cwrerJ, aM �P�. Vailyi^9 adim" SigneEne ot /Wdrtn 2b _ Pav ?0 _' Lesser of 12 Hortws�a^�1 Valuatian w 535.0()D (�) (Z) (3) (4) (Si (5) {?, (8) ry�, _ _�,�'� ... _i-_ ' ��_ _�S'_"_ �:r�:'lON ��l �%yayC� -- ___ I I 1 .•� ifDHIML LUE Y . e _/+' b i _ _�: � 1 IPate s�mM '_—_'--__ i � ��v��f _—'_— __ �—_ —