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HomeMy WebLinkAboutHomestead_Wright (17)CLAIM FOR HOAAESTEAD PROPERTY TAX CREDI7/STANDARD DEDUCTION sl� Fom, ssrs Rt� � 5-a� Preaabed by Oe DapeMart aF Lool Goverma4 Fnake INSTRUCT70NS: See ieverse side Rx fiiing ins6uctions. . . . -- � :�.. ..'.,n'. , �-', . � , ,�, . ._ . ..: C6LTo-lCA71 FORIA HC70 _ 1(VYe) \ certiy thafaR�1 oi , 20_ I(We) ocapied as av pr"v�dpal plece of residence the " descnbed real property (ar whirh a Hamestea�ooaN Tmc is daimed: —C(; O � cvue� ownea ❑ a,e buymy ��ag oa,vaa 7�O Have a benefidal mterest m ihe entity Mffi is liade 6w Cie prvperty tmces m the property and tl�Cywns �operty or is b�ng under a contracl rc buy".g on ccnaau. Fee srtqle f�de/s W6ce where �crViaci Reoord number � Pepe ...� . . . ..,, . . _ . � " � ' � '.y'.a� � PROPERT]fDESCRlPTiOiY'. � ' c.1t'"' � '�. �`Yi::v � "�:'f��'' `�L� �b., _ Tuwatuv .' T�m�g a� (,3y, ro.m. ( . ) ' , Peroel nur�bar � �p6m la Uie poperty i� q��on: �.. .. ❑ Reel AWertY ❑ Mahik Horte G.C. 61.7-n - M airy partion d tha rmideNial strucEre n Ihe lard nal ncr.eedng ore (1) tlist" ' amw� tl���e ia uaed b 7�� i�aorte. tlasa�e the ime md pwtion d Ihe properry uUf�d m pm�ue exnne. � � '.. � : a (�- � a - o-� - a a y -c�c�a � � .5�3 -�a � `��-�� 53 . ,,• .. -.-..,-. .'.., .�-;<.':�PROPEKTYOWNED�BYCLARlANTdOTHHiCOUtRff3.... :�:?'.:' 9a.[i°�:Y.;YC",��.Fi�?A^.:..t�;�.'`,v`*. Caunry 7ornship Counry Township i nereny cerery me aeoye sra�nc� aR m,e. �«rau ar�d �v�m. a a�. ��. �e �t dn: a�m, z� �> � •-.� , ; . _ r zni-�-��.ASSESSORUSEONLY.� �., i��•rTRUE.TAX� � ASSE�VALUE HOtlES7EAD`.�i" �NON�tESIDQlilAlc�� � ,- �- � �` r . :. V/LLUE' r� � fAT.100X OF TN+ 5 ',VALUE '� i y �5"'�`3ty YAWE �'"E+' � m !�'i'� <�iPr ,v..� ni �J� �5�^2�J s rn C` �.�r.SA. ?: _.adY`.n.!`.'�'`t.e:h�t,_� .b..�i.f �BfIdf10Q8JlCB6di(10 i (OlIB�3OBIR�11@�2$.'y .• ' (s�awa;��/�rt�tyrt�� �(Y�L�SU�j. n'R'fi sidro�u�digresidenti2litnprovertienh. ��� ?a ua�S.J``��f���?.�v`,���.t�1:6�3'�'��� . _ . . .,,�'v,,r`" `, _ �2� I.;f�.��.�j; (rs'P.:�_ OIfIBflBfld . . :.:i c,�.'yf:��T�,a;tl Ttiaf IarW (/'vre 1 pku 6�e � i3) � F �� . "t �eti t�c�St�;�,�-y�@,±t�+o-�rm�i#.� �;°4 r�;,) �.`,,�'"a `Y""�s",i n. fiF� 1 R851A@fILBIRfIPlOVBffIEfiLSOfAfIf1U8IIY ��� (4' {i C�L(st� JuF�J�Sn'edi+�.�si �AZ�O: Assessed Mdale / AAaraRac4aed Flart�e � i.� ��a. z.f y�' Ktit� .: tt"Sk�""' ( ) ` �:a�� �,'�a- ��f.�21�, 1 #�� ��e 5 �� �� 2to.,k`r�✓��.1.ks_. fi' �'i�'11 ,: ' '".r:.�..�:; _� �18( ml�f0�/fif10f11$ �s' Yk' . :" j �` :Y. �,r:.�<V, � :.$.. Tdal unprwertierAS (!'a,e � fhrough 6ne 6) m Taal value (I'vre 3 pka ffne n (g) I hereby certify ihe abwe is true. cartect, and s9rahsa of� Dam sig�ed �� MaifyinB aGim' S'SpmCae of h#mr UaEe sipned .c: N)_Pay20_ �r a �rz r+o��a v-auation or SaS,000 s orawra I � �