HomeMy WebLinkAboutHomestead_Hedges (2)CLAIM FOR HOMESTEAD PROPERTY TAX FORM
"M
CREDIT /STANDARD DEDUCTION HC10
Main FtimI 5473 (R7 I 5�
Prescribed by the Department of Lo®I Governmard Finance,
INSTRUC77ONS., See revem side for filing insftuctb�. FIL
14
I (We) - (/ rvv v wAL 4��n I 7m*7tht oil ft 1st !day dMarh.20L__
I (We) occupied as our prffmpai place of residence g real p�� for whjcta lead 1_'10,—/ Q"?hereby domed:
71 1 (We) owned ❑ Are buying under contract COUNTY AUDI-TOR
UgBSON U
Have a beneficial interest in the entity dtall is liable for the property taxes on the property and that owns . property or is bu" under a contract.
_6�_-`--CONTIRACT.RECORDED
It buying m mrntrar>. Fee Single owners name,
Rawrdeft office where owbad is recorded Record number Page
,_-,A!,�,V - . ; k, - . __ I I ... 11 11
. I 1,V
...... PROPER OWNEDaY CLAUAANTr IWOTHER COUNTIES
County
�,-'PRopERTy oEsqPjpnqw,�.,,,
courny
Township
I hereby certify the above statements are true, cored and complete.
TuArristup
��TjowoFfr
TwmIg dtsalhrict
tmm.
PaWIber
Legal deamption
is
is
M luesti .
Land not exceeding I (one) sore immediately
property E3 Mobile Fion (Ld, 1-71
t any parties of -be or to Land rKA exceeding
one (1) acre that irnmedialsly, ou�
strurhxs Is used to prod" �, describe the use and portion
d the rty Wd prd=.
Other land
(2)
,_-,A!,�,V - . ; k, - . __ I I ... 11 11
. I 1,V
...... PROPER OWNEDaY CLAUAANTr IWOTHER COUNTIES
County
I Tommship
courny
Township
I hereby certify the above statements are true, cored and complete.
�§jgnature of dWnart
-1
,A )CLA
��TjowoFfr
10) 0AIrli,
or(ournber and sheet aiV stets, ZIP ;77
0
04,, _TAJ C4!2(,1ari
STANDARD 0EMCTION'ALLOINMCE ,P
.-TIWE,TAX;,-,*,
ASSESSED VALUE
Lesser of 12 Homestead
��TjowoFfr
A 4
177 n-3 -o 77
,'�r,VAWE
;VALUE
Land not exceeding I (one) sore immediately
surrounding residential improvements.
Other land
(2)
Tdal land (fine I pka fim 2)
(3)
erg
(4)
Residential improvements or Annually
G arage
( 5)
,
45-Va W.
Assessed Mobile I Manufacbred Home
Other improvements
(6)
Total improvements (fine 4 Wmigh fine 6)
(7)
Total value (line 3 pAus fine 7)
(8)
I hereby certify the above is true, correct, and
complete.
Signahze of Assesaor
Date signed
Virtlyrng action - Signature Of ALKRW
Oats signed
STANDARD 0EMCTION'ALLOINMCE ,P
20_Pay2O_
Lesser of 12 Homestead
Valuation or SM."
177 n-3 -o 77
. - I /I