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HomeMy WebLinkAboutHomestead_MoncadaCREDMSTANDARD DEDUCTION CLAIM FOR HOMESTEAD PROPERTY TAX State Fonn 5473 W I 54M Prescribed by the DepwUnent of Local Govwnrnert Fmance INSTRUCTIONS: See reverse side for ffib7g kstructions. -'X -,CERMCARM STA wviv, iY I 1st day of March. 20_ 1 (We)_ oef*!hat W I (We) occupied as our py'lpm place of residence the follaMng described real property for which a Horriete�J " Wac Credit is hereby claimed: l(We)owned LU Are buying under contract Have a beneficial interest in the entity that is liable for the property taxes on the property and is buymg under a contract. i.,iJ,,#?,.�.1P�.-CONTRACT4RECOFtOED�,'� ff buyffig on contact Fee Sirnple owner's name ftcmdees office where ambact isroom Record number Page .,i""-,:l,.,-Ii�PRoPERTY,,bWWE[ib*,CLAillAHT.Imt)THERCousilEs�:'-' PROPERTY DESCMPTION., Township Cc" TCARUMP I hereby certify the above staternents are true, correct and complete. T town. = AT t00Y. OF Panel number L =pion Ls the property in S to-na JAA Real ❑ mw. H.. (LC. 61.1-7 If arty portion the residential structure or lhe land not ONS at 06dture m used to produce ummme, descrbe the use and portion of th Wf®d to prod" irKxxne. surrounding residential iffpvvernerrts. alhertand .,i""-,:l,.,-Ii�PRoPERTY,,bWWE[ib*,CLAillAHT.Imt)THERCousilEs�:'-' C County Township County Township I hereby certify the above staternents are true, correct and complete. AT t00Y. OF , - -' 11: AWE TRM'TAX' ASSESSOR USE ONLY AT t00Y. OF , - -' 11: AWE ,.',VALUE Land not exowdng 1 (ow) am immediately surrounding residential iffpvvernerrts. alhertand (2) Trial land (Ikm I plus fine 2) (3) Dwelling (4) a Residential ffnprovements or Annually tNuil-'N Garage "'0 �Mv Assessed Mobile / k4artulactured Horne (5) Other unprovernents (6) Tdal ffnprovernents (firm 4 through Eno Total value (fine 3 phs lirm 7) (8) I hereby ce" the above is true, correct, and complete. SGnalure of Asetmsor Date signed Morifying action - Sgrature of Auffrhor Date sqned STM DAR 0 DE DUCTKWALLOWANCE :vkl--"Y� 20 Pay 20 Lesser of 112 Homestead Valuation or SWODO Signature of Auclitur Date sormd