Homestead_SchumacherCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fonn 5473 (R6 / 4-03)
Prescribed by the Depar6nertt of Loral Government Finance
INSTRUC77ONS: See reverse aids for Ming ibffiurdonm
,FORM
YEAR
� HC10 '
SEP 3 0 2005
I (We) L%6-y that On the 1s?t day of.March FFt2t0_
I (We) occupied pal place of residence the follo ing described real property for which a HomesteadlPiapwy' ia9c"MdditheDebyy6 aimed
❑ 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.
NTRACT.;RECORDED>
If buying on contract. Fee Supple owner's name
Recorders office where contract is recorded Record number Page
- - '+
Lv i S,me'K..t FAX' £ i� iij
�a4P"ROP,ERT.Y <UESCRIPTION s,z ..:• �. "'.;, .L g�z. -,
Con
Township
hereby certify the above statements are We, correct and complete.
Taxing tlauiG (G to
h
Par n� /1rt /�b�er C/ /"�
"�/— oO 7 ��
Leg Cs � ti n
�� VALUE,,..',
Is the pro in question:
oat property ❑ Mob e H o (.C. 6-1.1 -7)
If any portion of the residential struchrre or the land not exceeding one (1) sae that immetliatety wnounds that structure L5 used b produce income, describe the use and Portion
of the property utilized to produce income.
sr
SESSORp�U,r^O�N,Lr
County
Township
County Township
hereby certify the above statements are We, correct and complete.
Si r tGaimant
-,,GVALUE�-t�5�
e number and street, city, state, ZIP code)
sr
SESSORp�U,r^O�N,Lr
-
TAX* i�-
ASSESSED VA[UE
ti..
-HOMESTEAD `
,.. � ...
�' NON�RESIUENTIALi¢j�
p,-
-,,GVALUE�-t�5�
- AT�100 %'OFyT,TV,.VALUE�`�.
�� VALUE,,..',
o,
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.n
-'fp
Other land
(2)
k N
�J
Total land (line 1 plus line 2)
(3)
Dwelling
(4)'M+
-R
'Residential improvements or Annuagy
Atltresaed Mobile / Manufactured HOroe
Garage
(5)
�?.„� .•-t &' �'r'
Other improvements
(6)lmtedV�;
+
Total improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
-
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
z`w"�°'•.� ..;,ir,",.= 'To-`- is75`` STANDARD: DEDUCTIONALLOWANCE,''" 'a-3,'�yrlan"ft"^2c"'.�a2^".�f' ,, Y'"a- d`e,`„`•�iv
20 _ Pay 20
Lesser of 112 Homestead $
Vauaaon or 535.000
Sign ure f Date qgqA