HomeMy WebLinkAboutHomestead_FlaningamCLAIM FO OMESTEAD P OPERTY TAX
STANDARD/ PLEMENT DEDUCTION
State Fortn 5473 (R13 ! 12-09)
` Prescribed by the DepartrtteM of Local Govemment Finance
INSTRUCTIONS: See �everse slde fnr Bling inst�ctrons.
H
DEC 7 2012
� �I��I�� �
� �e� certiry th
place of residence or a are) buying the followin d scribed real property for which a Homestead Property 7ax Standard Deduction i
under contract on the d this application is filed, (date of filing). I(We):
p� ❑ Am (are) buying under recorded contract
Am (are) entitled to occupy as a tenant-stockholder of a cooperative housing corporation
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust
Q Am (are) the shareholder, partner or member of the entity that owns the property.
Nams
Name of daimanYs spouse (legaf name)
i
L�� �
? ;
number of clalmanYs spouse (last five diglts) Driver's Iicense ! Identiflcatlon / Other number
of daimenYs spouse (last five dlgits)
If buying on coMract, Fee Simple owner's name
Recorder's office where contract is recorded
�
Parcel number I ��Oe�'p` 'L- , //!
i l !% / � `l
If any poRion of the residentlal struCture or the land not exceeding one (1) atx}� fmmediately
of the prqperty utilized to produce Income. �[J� � /
/ �/
G�4� �o� �9 ��- �� i`"�o�d� � �
County
Township
I hereby certify the above statements are true, correct and complete.
city, state, and
Land not exceeding 1(one) acre immedlate�y
Otherland
Total land (line 1 plus llne �
Residential improvements orAnnually ���Ing
Assessed Mobile / Manufactured Home Garage
Other Improvements
Tptal improvamerKs (Iln� 4 tNrough /ine 6�
Total value (Ilne 3 plus Une �
I hereby certify the above is true, correct,
and complete.
Ve�ifying actfon - Signature of Auditor
(1)
�2)
(3)
(4)
(5)
(6)
i�)
i8)
Signature of Assessor
County
��
e
Issui�\y�'l[^�
`
Issuing S'tate
-�
Record number Pe9e
Is the perly in question: '
Reat property � Mnually essessed mobile home (►C 6-1.1-�
n�a� clure is used to prpduce income, describe the use and poNon
/'
o'f
�
2p pay 20 Lesser of 60°k of the assessed velue of the homestead or $45,000 I
�
Township
Date signed (month, day, yea�j
Date signed (month. day, yea�