Homestead_WinkelCLAIM FOR HOMESTEAD PROPERTY �
CREDIT/STANDARD DEDUCTION
` State Fortn 5473 (R8 / 7-07)
I 1
Prescnbed by Iha DepanmeM of Loral Gwemment Firence �,
INSTRUCTIONS: See reverse sida lor filing mstrucfions.
I (We) �1I —1 TIl
I (We) occuqetl�a
�I(We)owned
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, � ( � � ��"•'�� ptf�
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U �� �� ��/' fl V YIl� . �' � V V1.1 lX certify that on Ihe 1st day of March, 20
our prindpal place of residence the following described real property fw which a Homestead �'r�rtyiTa�C�� hereby daimed:
❑ Ne buying under mntraU
a henefidal interest in the entity tt�at is liable for the property taxes on the property and Uat owns Ne
11 Wyuig on ooniract, Fee Simpla v.mafa name
Recpdera otAce where corrttact is recwded
Counry � Tavnship
tlescnptian
Ta"uig districl
Is Ihe
If arry port'an oithe residerrtial atruch�re w the land not exceedirig one (t) aue ihat immediately wrrounds that
of Ne property uli6z� In pmduce inwma.
Record number
under a contrad.
Page
property ❑ Mobile Home UC 6f.1-n
is used W produce inmme, descnDa Ure use ard porlion
�_ � � • .� • �
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Land not exceedirg 1(oire) ave immediatety (� � �- . '
surrounding 25idential improvements. �
Ofherland (Z� =z:� :.,��;�. ;:- -
Tctal IarW (line 1 plus line 2) (g)
- - ' `+ ; �..'' ' -
Dwelling (4) - '
Residentiai improvemenis or Mnually
Assessed Mobile / Manufachired Hane - . . .
Ga2ge �5� .. -� .. � � _
"�:
O�her improvements (8) . .
Total improvements (line 4 fhrough Gne 6) �7�
Tdal value (line 3 pl�s liire � �g�
I hC2by certify tlfe ebOV6 i5 W¢, GORetf, etd SigruWre of Pssessw Date signed (monN, day, yea�
complete.
Verllyirg aclion - SipnaWre of Audimr pate signed (mmlh, tlay. yea�
� PeY 2� — 45.p00 for 2007 pay 2008 42.000 for 2010 pay 2011
Lesser of t l2 qq.ppp for 2008 pay 2009 41.000 for 2011
Homestead Vaivation paY 2�� Z
a n 43,000 for 2009 pay 2010 40,000 payable after 2012