HomeMy WebLinkAboutHomestead_Sisson (2)CLAIM FOR HOMESTEAD PROPERTY TAX FoRrs
CREDMSTANDARD DEDUCTION HC10
State Form 5473 (R7 15-06)
Prescribed by the Depatrment of Loral Goverment Fnerxe
1NSTRUC77ONS: see reverse side for filing instructions.
•.�. CERTff "BOl1 STATELENT: " ,IRL
I (We) jwaann, cerhlVjj@ 4A 41y of March, 20_
I (We) occupied as our principal place of residence the followirg described real property for which a Homestead Property T� t is hereby claimed:
I (We) owned El Are buying under contract pppp
Have a beneficial interest of the entity fiat is liable for the property taxes at the property and that own �!{ QbFtt� under a contract.
;.....
CONTRACT. RECORDED `r�.....
ff buying on mnbact, Fee Simple ownees name
Recorder's dke where certmot is recorded Revert number Page
PROPERTYDESCRIPTION ^" �, -z " a ' ti -..
•y I �;:. ,�;:. - '<'!FK,'' v`
Canty
Toestap
County
TomV district (cty, town, (ewna/W)
I hereby certify the above statenients are true, coned and complete.
Sire at deimart -
G n VALUE f,R?^S
L ptiar
ri i
Is the property in question:
yeas (number and sheet oily, stare. Zf l code)
.
Y, .'+•••ni�ti.'>
.231 w• r70/T ro
'
❑ Rail property
❑ Mobib Homo (LC. 61.1 -7)
Harry patio, d tlw idl stmcbxe or the land nil emeeding are (1) acre Mat inmedMtly amornda Mat shumxe is used to produce ircorre, deavbe the roe and portion
dlhe prapedy rIDf®d m produce inodne.
1. pr
'44, Cad
is A&t7
. ... ...., "PROPERTY OWNED BY CLAMANT Di 'OTHE R COtAi! f
d'`'TRUE TAX` 7
County
Township
County
Township
I hereby certify the above statenients are true, coned and complete.
Sire at deimart -
G n VALUE f,R?^S
k�1v� t Y/LLUE w-
ri i
:e
yeas (number and sheet oily, stare. Zf l code)
.
Y, .'+•••ni�ti.'>
.231 w• r70/T ro
clry i,V
11,7460
• .
d'`'TRUE TAX` 7
ASSESSED VALUE
'i'sHO" EAD`
:4 ! NON4tESMENT1Atr�'
P ASSESSOR USE ONLY„ ntiS;
p_
VALUE;
- AT, 100% OF TTV
G n VALUE f,R?^S
k�1v� t Y/LLUE w-
ri i
:e
,
Y, .'+•••ni�ti.'>
Land not exceeding 1 (one) acre imr>erbately
surrounding MSrdL'nttallmprOVenanLR.
(1)
9fJ ,V) !for IV- +n xl f
Other land
(2)
- - ~ .. ,'•:'', e. •`•:
.
Trial land (fine 1 plus firre 2)
(3)
Dwelh
F
ng
(4)
>" �^ `.�r, s`;:i y<`C_azs ' 'tt t ea
Residential improvements or Annually
Assessed Mobile f ManuteCh+ed Hone
Garage
(5)
t.�:3.
Y. ..Q }:!.i:... •. ern:'.. I.
Other improvements
(6)
Tdal vrtproverrnertts (Gne 4 ffuwro fine b)
(7)
Titan value (Idre 3 p1w One 7)
(S)
I hereby certify the above is true, oared, and
complete.
Signalise of Assesaer
Date signed
Vwtlyng action - sigahre of Auditor
Date signed
STAKDAFW OEDIJCTION ALLOYPANCE
20_Pay20_
Lesser of 12 Homestead
$
Valuation or 535,000
Sigatue of Auditor
Da" 0 = ao'D