HomeMy WebLinkAboutHomestead_McGeeCLAIM FOR HOMESTEAD PROPERTY TAX Fp�m. YEAR
CREDIT /STANDARD ur DEDUCTION —i H
Starts Fo 6473 (R614-03) ��LL
Prescribed by the Department of Local Government Finance
INSTRUC77ONS: See raveaw &W Ihr OW srffiucdmw U E C 1 5 2005
I(We) / certify t tj)e(ISll4*TQ& arch, 20
1 (We) occupie s our principal place of resid ce the following described real property for which a Homestead Property Tax Credit is hereby claimed:
❑ I (We) owned ❑ Are buying under contract
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.
_RECOR = SrKvCJC.32�i�wu� -�"x•
... � �CONTRACT'.DED=
If buying on contract, Fee Supple owners narne
Recorders office where contract is recorded Record number Page
a� '6A,�`'. �` 'rte'",.' 1*10s'-. 01WW.'ri9a�7Ws? T--& -W PROPERTY DESCRIPTION '. "•s";'sa3 `.3rss� 't . NW
County
Tormship
Testing district (city, town, to
)
Parm u r
Legal desc
Is in son:
al property ❑ Mobile Homo .C. .1-
If any portion of the residential structure or the land not exceeding one (1) acre that immedi ety surrounds that sw re is used to produce income, describ I portion
of the property utilized to produce income.
YeS Sr Rz'giit „' �.� .. <. .._ Ak
:” E�' s. v.. �-,>, s��, s-+ �+ r�� +zs-R'.z7?:�PROP,ERTY;OWNED';BY CLAIMANT;IN,r OTHER 'COUNTIES��'- ?= �%��,Y'�r�1`�,.�
County
Township
CountyTwvnship
s+�"NON ES OI ENTIpAL 11 3-11t
I hereby certify the ab_ ove statements are We, correct and complete.
ant Si
l
® d (nu� (, w/ L c,sfate, ZlP cede)
Zed y
6 6 p
ap t,`:� µ`z r�'T-'�" '' '` `�"`7' T - i*'`"'.
"-faa�ipray�P-y{RU;SEONLY.
TRUETAX� 3
`ASSESSED VALUE
HOMESTFJ1f) `
s+�"NON ES OI ENTIpAL 11 3-11t
_UEr'y'ATti100%.OFTiVtiSVALUE,'.
VALUE'^_
Land not exceeding 1 (one) sue immediately
.5m:"'°.a- "r* stse>r
surrounding residential improvements.
Other land
(2)
Total land (line 1 plus line 2)
(3)
I
Dwelling
(4)
.
� ls'
'Residential Improvements or Annua6y
y j
CS 17M`� p' ' 3Y� �'ry
eylA
/ Manufactured Hama A
Garage
(Mobile
rlfrW '.
Other improvements
(6)
q f 5
�0
�-1
: s4 4j'
Trial improvements (line 4 through line 6)
(7)
Trial value (line 3 plus line 7)
(6)
hereby certify the above is We, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
20 _ Pay 20 _
Lesser of 112 Homestead $
%Muawn or SM.000
7171 g Tr
Date signed