HomeMy WebLinkAboutHomestead_Smith (47)°"" CLAIM FOR HOMESTEAD PROPERTY TAX
�. - _ � CREDIT/STANDARD DEDUCTION
Slata Fpm 5673 (R8 / 7-07)
•� , u � Prescribed by Ihe Deparlment of Loral Govemment Financa
INSTRUCT/ONS: See revelse srde /or filrng instrucfions.
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i �ve� �v�c..�c n J�C�� T �,,,�\ certify that on the i st day of March. 20_
I(We) occupied as our prinapal place of residence the following described real property for which a Homestead Property Tac Credit is hereby daimed:
I(We) owned ❑ Me buying under contract
Have a benefidai interest in the entity that is liable fa the property taxes on the property and that owns Me property or is buying under a contract.
If buy'vig om m�VacL Fae Simpie o.mets name
Recadefs offica wher conUacl is recwded
County Township
If arry
oi Ihe
numbei
Legal ducnpUon
Recad
T�ing tlislrici (cdy, to:m, tv.vnship)
Is Iha property in ques6on:
❑ Real property ❑ Mobile Home (IC 6-7. f-n
of the residenGal sWClure or Ihe IaM nof �ceedirn� orre (1) aae IhSat im�ate wrtounds Nal structure is used to produce income, descnbe the use and portbn
y utiGZed b Pmduca income. /'� ��i��l�'�.AIL.t�'jL � l�M' S' �U J
I 1
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Land not ezceeding t (orre) aae immedialely � � ' - � - �
surrounding residential improvements. (�)
Other land �y) -
Tdal land Qine 1 plus line 2) �g)
Dwellin9 (4) �' i ` ,;,
Residen6al imprwements w Mnually
Assessed Mobile / Manufadured Home : =�
a
Garage (5� , e s,'��..?., � .:...� +
Other improvements (6) -
Tcial improvements (line 4 through line 6) (7�
TUaI value (line 3 plus line � �g�
1 hereby cerfify Ue above is We, correU, and SignaWre ofnssessor Date signed (mmfh, cay, yeer)
complete.
Vaifyirg adion - SignaWre oflwtlitw pate signed (mmN, day, yea�
2u _ PaY Zo _
Lesser of 12
Homestead ValuaOOn
w
SynaWre of Audita
45,000 tor 2007 pay 2008 42,000 for 2010 pay 2017
44.000 for 2008 pay 2009 41.000 for 2011 pay 2012
43,000 for 2009 pay 2010 40,000 payable after 20t 2