HomeMy WebLinkAboutHomestead_Rowe (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Forth 5473 (R511"1)
r•w Prescribed
by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
I (We)
I (We) occupied as our rind I lace of residence the foil no described real roe for which a Pro-64y ' ��. ----
W P � P g p p ttQ homestead Ter :6�edit�ls- tiereby chimed
1 (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.
Eva YEAR
fB
IJ
certify that
n CONTRACTcRECORDED
If buying on contract, Fee Simple owner`s name
Reotuder`6 office where contract is recorded Record number Page
°- •..�a- ,�K.�r�a;s�"°'�"" -..�._
?ROPERT,Y:DESCRIP.TIOH''
County Township
1 hereby certify the above statements are We, correct and complete.
Taring district letty, fown, township)
POarml number Legal sai n
_ Is the property in question:
C�AD6T gp—" property ❑ Mobile Home (I.C. 61.1 -7) .
if any portion of the residential structure or the land not exceeding one (1) acre that irfunetliately surrounds that structure Is used to produce income, describe the use and portion
of the property utilized to produce income.
��� �' �% ?���` �Y` �., w��`' fP, ROPERTYiOWNEDBYuCL'' A16AANT; INOTHER. CUUNTIE§+'" �i`• �'-., �` �9.' � ''a�r'{- cS- rs�g�t`r�s't.�'"t-.
County Township
County Township
1 hereby certify the above statements are We, correct and complete.
signature ant
Mress (numbai end street, �rte, ZIP e)
-,`t �� A S5-� R�U ON�LLY" �.-
TRUE --D
ALUE- .rRyX�"
- ASSESSED VALUE
T,i100 °k'OFTfY
HOMESTEAD
�Mj7 Er�
NON�tESNENTIAL
�{9:c.VALUE`t`
Land not exceeding 1 (one) acre immediately
surrounding residential Improvements.
(1)
� ' '. .
Other land
(2)�
.y
Total land (line 1 plus line 2)
(3)
Residential improvements
Dwelling
(4)
Garage
(5)
a,+ . -
Other improvements
(6)
?E ak.
i.".�'s ate;
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
hereby certify the above is We, corned, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
i�STANDARD ;'DEpUCTIONAuowgwCE'5ti;i
20 _ Pay 20
Lesser of 112 Homestead $
Valuation or $6,000
Signature of Auditor Date signed