HomeMy WebLinkAboutHomestead_Paris (5)�.} CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fortn 5473 (R6 / 1-03)
Prescribetl �y Ne �epatlment of Local Govemmenl Finance
INSTRUCTIONS: See ievcrse sidelo�lilinq insliuc(inns.
I (We) ��
I(W upied as our pri 'pal place oT residence lh ollo g escnbed real pro/pe�rry,/fo� which omesteai
I(We) owned Fve buying under con ct��� VS ?P ��
, Have a benefidal inlerest in the enfiry that is liable for the property taxes on the properry and that owns lhe
il buying on conVad, Fce Simple ownefs name
Recarders ofice where mntracl is recordeE
FORM YEAR
HC10
�[' �1 4�
• �//�� l�. ry�/ ��
� rruv 1 q "LUU3
iat on the 1st day of March, 20_
�
M1/]��erty T�c Credi� �s hereby, daimed:
'���LI %�;,c..�.._I��
350i�I C'1: � vT � : ��:�IT(1R
�perty or is buying under a wntraU.
'S�^-Y.f--'"�t-�� ��'r� �
Record number Page
Caunty TamShip Tacing tli{Iritl�j'J� fownshiP)
y
Parcel nunmber ^� Lega scription �` Is the pmperty in quesUon:
Q � 7 ' Q o� ��p< ' � � `J�� � ❑ Real DmpeM ❑ Modle Homa (/.C. bf.7-7)
H any portion ol Ne resiCentlal sWCture w Ne land nol esceeding one (7 ) aae Ihat immed'atety wrtounds that swcwre is used to produce income, desaibe Ihe use and portion
of Ne property utif¢ed b produce inwme.
CouNy
I hereby ceAify the above statements are We, correct and complete.
Address (num6eraM sUeet, city, stafe, ZlPcode)
County
�i".i. �t��?�"s�"�'-1".sy �-"!'G`��, i�� �. .�-... .�y. ..,.,,, _ . . ' . ,.. .if sx t}:.t
� � '� - ASSESSOR!USEONLY`3�f�= x "^ ` �UETAX �i� ASSESSED�VALUE �+NOMESTEAD NON-RES�DENTIAL , �+a
. .�:s�? �SC.:'�F`,��'.mt`ms �L�+s=i�!� �,. VALUE:a°F`�-•`�}sh.:.ATs100�a:O.F�x.�T.N.., ��VALUE� ���`�-a�VALUE �r�-�?�t'�3_'
Land nol exceeding 1(one) aae immediately �� 3l,s`�``�'�`��r`-"����3`�zrt3.�
surrounding residential improvements. (� � ? �'�'�?_��;,� �o��`,�; ��'
. ��' e�.
Otherland `� �` �''� �� Y
(2� 5����
Tdal land (line 1 plus line 2) (g)
_ � � ������;
Dwelling (4) v ,�i�i-�"�'�;��.���� .
Residential Improvements or MnuaVy �����"X; �'"'��"'��`��
Aasessad Modb / ManufacWrad Hame Gara e 'pr��,.'� ���;�,.+ ��"`'�'�'�`.�,i'�
9 (5) r..'��nh��-^'.�.`r`':..rrf ��.�l�=�"�;'
�� �����
Other improvements (6) � �,���s�
.eaxi k. S`�'r
TUaI improvements (line 4 through line 6) (7)
Tdal va�ue Qine 3 phs �ine � �g�
I hereby certify fhe above is We, coned, and Signature otassessor oate signea
complete.
Vai(ying adion - SignaWre of PLaiwr Date signea
��-� `F:-�.`s�",E��,�.`_`,�,-`��- �.. - � ai�.i�� :-��:'�-�STANDARU;DEDUCTION`ALCOWANCEY �`^s-'.t;:�...�:.�`��im�+�-���''.s�'�:�*"��y'',�..��to
20_Pay20_
Lesser of 1l2 Homestead
vawaLm or 535.000 S
SignaNreafAWitw ' Dalesigned