Homestead_Wood (4)CLAIM FOR HOMESTEAD PROPERTY TAX
- � " CREDITISTANDARD DEDUCTION
t -/ State Fortn SC73 (RS / 10-0t)
�w Prescribed by Ne Oepariment of Local Gavemment Finance
INSTRUCTIONS: See reverse side (or filing insfructions.
FORM YEAR
T`{�y, � `HC10� l�
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�(We) � � l cer(i "ry ihat on`.the (Ist day oi Ma"rPh? 20
y� w.v�� v,.,.�� , n.. —
I(We) occupied as our principal pla i residence the foll descnbed real property tor which a Homes�eatl�roQ,erry T'adCredit is hereby daimed:
❑ I(VJe) owned ❑ Fve buying under contract �
■Have a benefidal interest in ihe entlry that is liable for the property taxes on the property and fhat owns the property or is buying under a conVact.
I( buying on conlracl, Fee Simple ownefs name
Reoordefs afica where contraq is recorded
Counry
Tamship
N eny portion of Ne residentiel sWGure w ihe land not exceedinp one (t ) acre thet
of the property util'¢ed ta protluce i�ome.
Rewrd number
Tacing disVict (ciry, town, tawnship)
Page
I Is the Property in queslion:
❑ Real Droperty ❑ Mobiie Homo (I.C. 6/.1-7) .
wrrounds that sWGUre is usetl tn praduce incoma, describa Na use antl portion
'S'fi �_."v� :.�y,„, :,.F�Sb� � s.�. nw: -y. . ._ y, .fa .�..�.>. E
4s �.w �•�-�� � TRUETAX ASSE5SED�VAI:UE �KHO(dESTEADrF � �"NON-RES�OENTWL
�'v�R`� ASSESSOR USE ONLY- � -t �-v
3-�xs:���..�:�5-.,?}%!#S:"��.». ����''��VACUE`�' AT,i700%.Oo�..s1&�:ti�;VALUE,�'���.�����4'''�.�,VALUEf�-
Land not exceeding 1(one) acre immediately (� � `�'�� ��`,a��.z �' is
suvounding residen6al improvements. �5.���',��'�� y��� ��?��y�
�'�"`"'�l�r�,�, y .
Oiherland (p) ������
�.,�
Total land (line 7 plus line 2) �g)
-i���''r�� -�` �=i,�
Dwelling (4) ���'���..�1
Residential improvements ���'�"'�` '�' ��t�,
':-'�t-r�i�- iui. �?
Ga2ge �5) �� ,� ' . i�.' ,�a' "%5, �.a.
,
} Y'�[y`
<.�_, �
Otherimpravements (6) �:3�^�'s�-�: T
2.�_'��'-i?L :_.E�,�
Tdal improvements (line 4 fhrough line 6) (7�
Tdal value (line 3 phs line n (8)
I he�eby terti(y the above is We, corred, and Signature otASSessor Date signed
complete.
Verifying action - Synature of AuAiwr Date signed �
20 _ Pay 20 _
Lesser of 1/2 Homestead
Valuation or $6,000
5
ofAUddw V / , � ^' ^ D �Datesigned
/ �l� n.. . n . II /., �