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Home My WebLink AboutHomestead_Thomas (15)CLA1M FOR HOAAESTEAD PROPERTY TAX CREDI7'/STANDARD DEDUCTION sm� ro� sna (R� i soe� PreavbeA by tlie Dap�tr�aq af Lual GoVertmaq Fcanm INSTRUCTIONS: See raveise side fw fJing instrucSons . .._ ..� . _ . , . ) _ . . . ' ,. . , . _. . � . . CH2TIFlCA7IDN $TA7FJ�NT; �; Foa.an --- HC10 _ e I(VYe) � �`-CJ D cer4fy@�at a�he��a ,� I(We) ocapied as ac prmdpal pla�� of r' ence ihe foBowing descnbed real poperty for whidi a Homestead Property �� (We) owned ❑ Me buymg u�Ma mntract QCT rl� Have a banefidal "v�terest m the entity tliat is liable Wr fhe popaly tanes m ihe popaty and Cat owns C�e property or is a cantracl ". If buyog om m�tracL Fee Sir�le w�nefa reme Rewd numher � Page . . ,�. �r � ` �' ...'., r .. . � . , . .. . . � .. � ' ! :� '.d - '. . PROBER'TY DESCRIP770N' ' . - .'.i� i �' , ? ,. ''N r � r....,..`� ; �_t' --''� : °ti�� .. yi�. 1/ F £ Yl �Cciyity .. Taw`eJuP. . 7mdrg d� riy, fuan. fownaFiD) � ��mi nm�bx V� � � L d�aiptian j� Is Ne popMy n qua0on: � \ aw�b ❑ �ub r�e p.c. sf.,-n M eiry patia� d Iha r�idaqial struc9ae R thelard not m�eedi�g ona (1) tlial inmadaBaly anaads Uut Anrbse is uaed b C�m iimrt�e. deau+be Ihe ime md parUm d Ihe P�W�Y �Aifmd h� yodra uimrtie. alo-la.-o-► -�.l -�0.�6'3(�-�a�' ; :; :. : � _ *,.:::: , :' ��orQirrownm sr:c�aiarv�oTMee"couNi�s : ..5��;. r:;.v::,x �;�.� ..;:£:�;:� Counry Tanship Counry �TOw�mhip I he�eby certity fhe above Sfa�fs are true. cortecl and conple6e. .�'� ;a d damar � (nurter e�d atreet oA: ffi�. Z�code) ?L�� vui � s �.ASS�'ORUSEONLY�' � f��t{' i�� T%lE'TAX � t ASSESSm VALUE '?F�l�S7EAD�:. ,'*��.,�'rlp�+NON�SIDBiTIAL�izy� u:' �( �. r• .� �? ' VALUE:' ;'AT tODX OF 7TV r � VALUE <<i � c k,+VALUE ,Y,$ «;i.�' � i . ..y r* �. ..c. r .�� .rt..s9�.,, ..��, b''Sii:n��i». .+'.�'�?..�' � . �ffiIdlq�0ICE8�I18 i �O/IB�8CI81fftf18d181C� ` "�iF�?� ��`�+�,�''�.ut��:�j�'a m8 � .i.. s. �a�sf'nm � / 4"d q��, s�araa�d" �esidenfiali b. (�� }�., ' �� '' '� �yS�'o��,�:�.aa� Olher 19rd �2) � : �'^-'v ,:' 't : : !±� �: :.: (� a;C' j rJ N%`� i l Tdal lana (I'vie 1 ph,s rare � (g) } ,.a'^ysaxY�s^ � ,"`,`f3<°.�atR�� Y Resdential'ur�OVert�arMtwally �� (4� 's�s' ��fir+�i>hs��:�.��'��r�i'^7 Ps�sed A10bBe / I�IarWfac48ed FIOA18 ` J� +f `°o-i,'; w�1 �i 2��Jt,'('Y��in+St v,.' ��e (5� '3'r4�riRk�i�+��f ��✓�a��'��1 � ."�+,� �-1a"��'�`:'t Olher unprovertients (6) yf;`: , ,;. • ,r9 r.P:'.�' Tdal'unprovertiertts (�rre � Ihrayh 6ne 6) �71 Tdal value (1'vre 3 pds Gne n �g) I Ic2Uy oeNfy �he above s 6ue� carted, and Sie�mhue of Anaessv Data signed mnplete_ Vaifyirg aNm' S�pmOae of Mid`IV Dalu sipned _ •� I , 20 _ Pay 20 _ Lesset of 12 Homestead % Valuation w S15,000 E e s�a � d" . // I °e'° �'a°