HomeMy WebLinkAboutHomestead_Wolfe (3)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
t Stete Fwm Sd73 (R6 / 403)
Prescribed by the Department of Loral Gavemment Finance
INSTRUCTiONS: See 2verse side /or �li/g insfilctions.
... �.���s-�__ . .
g�
FORM � YEAR _
HC10
��e) � �� . +r r ce i t at th tst day of March, 20_
I(VJe) occupied as our principal place of residence the Ilowing described real property fo ch�H �' este n rop y T Credit is hereby daimed:
❑ I(We) owned ❑ Are buying under contract
� Have a benefidal interest in the entity that is liable for the pmperty taxes on the property and thatp�tnsph�pr��y or is buying under a contracl.
JH�v
If buying on conVaa, Fee Simplo awner's name
Remrdels oifice whaza conUaq is reoorded
Caunty
roxnsnip
� l l'V .M /�� Iiey ri���'L�—'
If any portim of Ne resiEenLal aWCWre w the land nd ezceedinp one (1) arle lhat
ot tha properly utiliz to produce income.
�a,c�.�� , -
-,�_„ ,_ ,,,.�_
GIBSON L��''" ' •'--
Record number Page
_SCRIPTION-�.`.�w�-^rr_:.:-?���i?ha.��'` L.':��-..;'`rss;?U'.�i'�'Y°'�,.tr3,�;
Tacing disirict (ury, rowq fownship)
Is e property in question:
� ❑ Real praperty ❑ Mobila Homo (I.C. 61.7-�)
iatety w unds that swcture is used to produce income, describe the use antl ponian
�Y.���` -1.� � ��.y�ti �s�:ot^�-.�. x, -� rr � u, - � -o � :�-•� - .
� � �',s?ASSESSOR�IJSE ONLY ��x� � � i " TRUETAX�t � ASSESSEDNALUE �' HOMESTEADy�'' � � NON�ESI�ENTIAL i
4�„x��-'�,�p�[�'�,,��y.X �a��,��r,. ,a `�" ��: ���CVALUE�Ix � TATy100%.OF�TNr �VALUE�2� ' ,y� ��V.4LUE ��s, ���t�
Land not exceeding t(one) aae immediatety �2`�w; ai�"�"'�,d� 'H
surrounding residential improvements. ��� 'Y3v�.,��- y<�' � '
/%������ r f�=
Otherland �` ~- �
(Z) .$,}e��'�..�*�5
�'�Y+A:
Tdal land (line 7 pfus line 2) (3�
r �v 3�r.,= v�. p.�".
Dwellin9 (4) ��#4 �����'�.'����z.,�X3�t.�
�Residen6al improvements or Annually � '�'"'- �
0.ssessed Mobile / ManufaGUrad Home Garage (5) ��E��,t,'��- �.�:.+ �
�� ' ��
"��-"Y;�.�',='d;i,3 -
Other improvements (6) t�
--�rt� _�rc�5�.�
Tolal improvements (line 4 fhrough line 6) (7)
T[tal value (line 3 plts line � (g)
I hereby certi(y �he above is W e, corteU, and Signature of Assessor Date s'gned
complele.
Veri(ying aclion - Signature otlwEimr Date sgnetl
���i�`°_t�_��;ss^dS,..��=ni7t'�"`�:fi a�a'.� STANDARD_'.DEDUCTION�AL'LOWANCEY.s�`i„y,':,�s�`,�;.,3,�'J„�j�'.',�,�.,f+'�..j�%�"'*�"°-^".��,,.;',
. 20_Pay20_
Lc>serof 1/2 Homes.ead
vaivaLOn or 535.000
5
Sgnature of Pnddw � Date signed