HomeMy WebLinkAboutHomestead_Robb (11)°' CLAIM FOR HOMESTEAD PROPERTY TAX
_ STANDARD / SUPPLEMENTAL DEDUCTION
� State Fam 5473 (R13 / 72-09)
� � Prescribad by 1he Departrnent of Loral Gwemment Firarxe
INSTRUCTIONS: See reverse side !or fi&ng insWetions.
i c • .; ',�
' . '� ' �
� 1 • �
iMre� �
real property f Property Tax Standard Deduction i.
er contract on th date this appliration is filed, (dafe oI filing). I(We):
Own ❑ Am (are) buying under recorded contract
� Am (are) enfilled to occupy as a tenant-stockholder oi a woperetive housing corporatlon
❑ Have a benefidal interest in the wst or the right to occupy the property under the tertns of a qualified personal residence trvst
❑ Am (ere) the shareholder, partner or member of the enUty lhat owns ihe property.
narne)
It buying om m�hact, Fee Siinple ovmefs name
Caimy
Pa�cel number
If any ponion o
oi me aroaem
•��a.
Caunry
conlreq is recotded
ot dairtiant (last frvs drgits)
RecaN number
prindpal
daimed
Page
Legal tlewrytioj� (� �/ Is the proparty in question:
N����% �� /�/ .3❑ �I pmpeJty � AnnuaOY assessed mob0e Mme (IC 6f.7-7)
tlie residentlalSWCture or the IarM not ezceeding one 1) aae ihat immatliately surtwnds lhat SWduie is used to pro0uce irkame, Oesaihe Ue uu and portion
ti11�eE to yotluce Inmme.
o�-d-od,003.933 -va�
TwrtaMp
I hereby certiTy the above statements are We, correct and complete.
Land not ezeeeding t
Othar IanA
oode)
�F�,v , �Ti✓• y
aore Immediatey
Totel land (lirre 1 plus llrre 1)
ResitleMial improvemenis or An
Assessed Mobile / Manufac4ired
Other Improvemenb
Dwelllni
Garaga
Total improvemertls (flne I through 6ne �
Total value (line 3 plla fine �
I hereby certify the above is We, correet,
and complete.
Veifyug a�Ybn - Signa¢�re of Fwtlitnr
��
20 _ pay 20 _ Lesser of 60% of
/JO(withsfanding any aNer povision. (he sum ol Ne deducteorts yovided in IC 6f.7-f 2 ro e rrobae home Mef 's
not essessed as real pmperty w ro e manufacfured home that a not essessetl es real properry meY rrot axceed
nnMwlf /f/ll Nlhw weeacsM vwl�re of Ihe mob➢e hort�e a�m9��deLlUfed hOme.
SignaW2 af Puditor
�.T �
S
Township
Date signeC (monfh.
Dale signed (rtanfh. daY• Y��
(mon(h, day, year)