HomeMy WebLinkAboutHomestead_Whitehead (7)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
t State Form 5473 (R61403)
Prescribed 6y Ne Depart+nent of Local Govemment Finance
INSTRUCTIONS: See 2verse side /or filing inshyctions.
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� �e) certify that!6R�tff'�:}s�a �March, 20_
1(VJe) occupied as o 'ncipal place of tesidence Ihe following described real property for which a Homeste U
�Q���oB�l��c (.�rQifilAAli�r��daimed:
�1(VJe) owned ❑ Are buying under contract
Have a benefidal interest in the entity that is liable for the property taxes on the property and thal owns the property or is buying under a wnVact.
I( buying on conUad, Fee SimD�e owners name
Remrdels ofiice whera contraq is recorded
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County Tawnship
fown,
Rewrd number � Page
O/� ��/(O L7 ' V— I e�s7/C n��- �o . a9� }ye �mpe inReal DroPerry ❑ Mobile Homo (/.C. 67. f-7) .
I( any portion of Ne resitlentlal sWCture or the Wnd not axceeding one (1) aae tnat imme0iately surrounds that swcture is used b produce income, desaibe Ne uu antl portiori
ot the prop u�produce income.
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-ia-a� �o�-�.�Ga-oaP
Taxnship � County
I hereby certity ihe above stalements are We, correct and complete. Signawre otclaima^t
(number aiM sheef, city, s(afe, ZIP
lY�-' . � yy�a 4.'�'ra'Y r _'�-+'� +i .-* .. . M � . . . L _ _ _.
� '�� -�.-�"TRUETAX r-� ASSE5SEDVALUE�HOMESTEAD'i NON�'�2ES�DENTIAL��t
ASSESSOR�USE ONIY �, � n �.z , , .,r„�
h.;�'.y�`��'�;�'���r... <.,��y��e �� ,g�,� �.,'?,�VALl1E„ V^�i : AT 100%OFTTV� �VALUE� Z�������VALUE ������t
Land not exceeding 1(one) aae immediately E� ,��'.+�y.�.� yF� �„�",� �
surrounding residential improvemenLs. (�) ��, �'�'" ` 7-E�,;��i
_� �c ,.'
Other land (Z� �`��? �.R-; j'�4�� -
_`,��->���-�`?�. _
T�al land (line 1 plus line 2) �3�
�. x •'�?'S.'f� ia'+��':.G'�(r -';53'
Dwelling (4) �� ����xwf��j�
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�Residential improvements or Mnualty �"��"!'� '� �' �" , r ��
Assessed Mobile / ManuFadured Home Garage �5) �'s� .-1c'`c�-ys
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�„-„ =�,�. �_�
:� c�=:.,
Otherimprovements (g) �-���� �`�,:
�,--..-'�*`a� �
Tolal improvements (line 4 fhrough line 6) (�)
Tdal value (line 3 pl,s line n (g�
I hereby certi(y �he abOVe is We, coved, and Signamre ofAssessor Date signed
complela.
Verifying aclion - Sig�ture of Puditor Date signed
:'�.y�'°,�-'s".-� � ��3,��.��zsrF '`�;,_ ���'-,.�z�"'F`•STANDARD'.DEDUCTION ALLOWAMCE �.-'��:"uz�`, ;�5.`�°- „,-��':.a;�'.i�. �+ -��-�4"i�+`�:t
20_Pay20_
Les�er of 1/2 HomeStead
vaivauon w E35.000
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Sgnature of Auditor - Date signed