HomeMy WebLinkAboutHomestead_Hunt (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
She Form 6473 (R715-obl
Proscribed by the Departumd of Local Gorannerd Fina}m
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CERTff7CA7iONSTA7EYENT :. ,., .
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1 (we) p�/�7 Ol/ 1 /� cerfify that on the 1 st day of March. 20
I (We) occupied as our pal place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
(VYe) cloned ❑ Are buybg under contract
Have a berhefidal interest in the entity that is liable for the property fazes on the property and that owns the property or is buying under a Contract.
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It tuhmxg on ..baL•t Fee Sirnple owrefs name "
Peocedoes d6ce where mrbad is recorded Record number Page
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.`,'• r': PROPERTY DESCRIPTRIN...
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County
Township
AT t00%OFTW
Tamg ' (y tn• t dw
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•,Land
Parcel nubs
Legal description
Is the properly in question:
-COO. 638-co-7
cc— -e7-
properly
Mobile Home (LC. 6-1.1 -n
d airy portion of the residential structure or the lad nd exceeding one (1) acre that inmednalely unravels thatAfiucture
is used b produce nmrne, describe the nee and portion
d the properly utilized to produce inmrne.
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r`• •., :n' J-,.,' :PROPE7iT.Y,OWNEDBY CLADiANT Q1 �OTHHt COUNTffSF1'• -•. -:; 'cs. ;i,i''.�� •.. .t '-'s. -r_1,.
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County
Township
County
Township
I hereby car* the above statements am true, correct and complete.
Sig adu
AT t00%OFTW
We (ncmber and street city, stets. ZIP code)
ASSESSOR USE ONLY 1
*v`,M
; r TRUE TAX
ASSESSED VALUE
' FWi�STEAD
rJ• ,� J , NONfiESIDHITIAL �Sq`x'.
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<° .,VALl1E.t�:
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•,Land
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net exceeding 1 (ens) acre nRrledl8ffily
GayAvyY
ip
surrounding residential improvements.
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Other land
(2)
Trial lard (Iirre 1 plus Ere 2)
Total
(3)
Dwell
4
M. i' 3 zwY'r
.p�YJe 14 Yr i`�,
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.? �µ2!(�,7 w
Residential enprovements cr Annually
_
Assessed Motile I Mahu!actu ed Home
+ sac'{is!fl tuG •. f£� :
Cage
(5)
Other anprovenherhts
(6)
" t
y-
Tdal brhprovemertls (lore 4 through 6n o 6)
m
Toilet value (Pane 3 phe tine 7)
(8)
1 hereby certify the above is true, correct, and
ccrnplete.
Sig m xae of Assessor
Date signed
Wilyi ng action - Sigmbre dhJxfimr
Date signed
Jam•.
20 _ Pay 20
Lesser of 12 Hor estead
Vatuabon or $35.000
&g nature dMJdiror
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