HomeMy WebLinkAboutHomestead_HillCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (8715-M
Prescribed by the Departmwd of Loml Govemynerd Fn
INSTRUC77ONS. See reverse side for Ring instructions.
FEB 14 2008
CERTIR"noN SUTEKENT,
I (We)
0(0
I (We) occupied as our pmcipal place of residence the Wowing described real for which a Homestead Property Tim Credit is hereby dammed:
I(We)owned I--] Are buying under contract
IN
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
CollffRACTFtJECORDED "I!
If buying on comae• Fee Single omits name
Ptamrdels afire where cmtrad is recaded Record number Page
.PROPERTY mscmprnohi
Cary
ToNnstup
Tuding dw,/3*. to.. townshp)
00,
Parod rRmnber
L deasiptico x7d�c
is the prop" in question:
1 ❑ Real woomay ❑ mobile Home (l.c. 61.1-7
ff aky porbw of the residents! structure m. tlre land net exceeding one (1) acre tud inmedaWly surrounds Oud sbuchze m used to produce resume. describe the use and portion
�Ppproperty Ldffaed to produce .
0,6
PROPERT.Y OWNED BYXIANANT IN 'OTHER COUNTIES
County
Thenship
. ...... ...
County
Tornship
-ATAOQWOF
1.4N..� VALUE V R
Daft sVmd
I hereby certify the above statements are true, correct and cornplete.
/V
We= wnberandabastaty, code)
Land not exceeding I (one) acre imynedabely
I?�s- 5-�o - �-,7 .5- 7
F I
USE ONLY
A'AjSESjC)R-
20_Pay2O_
ASSESSED
. ...... ...
iNOMMSM017 LAVWf
N
-ATAOQWOF
1.4N..� VALUE V R
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Land not exceeding I (one) acre imynedabely
4XI
surrounding residential improvements-
Other Wrwi
(2)
Total land (line I plus fime 2)
(3)
Residential ffriprovernents or Annually
Dwelling
(4)
Garage
av-
Assessed Mobile l Manufachmad Ham
(5)
Other ffripravements
(6)
Trial aprovernents (fine 4 dvough fire 6)
(T)
Tctal value (fine 3 pka, Ere 7)
(8)
1 hereby certify the above is true, correct, and
cornPlete.
Signal" OfAssessor
Date signed
%%df*V adwn - SUatfie of AUERW
Deft signed
STMDAJW INEWUrM ALLCYAMCE'., P,
20_Pay2O_
Lesser of 12 Homestead
$
Valuation or $35,000
-.Wkft" of Aucitw
Daft sVmd