Homestead_WallaceCLAIM FOR HOMESTEAD PROPERTY TAX
STANDARD /SUPPLEMENTAL DEDUCTION
State Forth 5473 (R13 / 12-09)
„ Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for filing instructions.
APR 13 2012
TIF...ICATIO N;S TATEMENT
-
place - - r:W. • Deduction
?UNTY AUDITOR
contract
q. . El Am (are) buying under recorded contract
i n Am (are) entided 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
Am (are) the shareholder, partner or member of the entity that ovrris the property.
s'.ahCL'AIMANT S- INFORMATION .t._t-t�.`�'}.��.. }?m<_� -r+.
•
Vii. a. Jlri.•
If buyiN on cotitract. Fee Simple owner's mine
Recorder's office where contract is recorded
s.' i^z 5° a'..: YF+`_._ i .s`Tes55iPROPERTY.DESCRI4I6
N..
E .... y E4.' d.Nq x A
_ q. �.1,PROPERLYAWNED;BY- CLAIMAM1TIN OTHERiCOUNTIES,ri3r ,�ry`4?t..yr d�
I hereby cerfity the above statements are true, correct and complete.
N&M •
u, `� �a� /
w dam' °"' " - c k;'HOMESTEAD J`xNON RESIDENTIAL �+'. -`I•
ASSESS D VALUE
'. +ay.i'"ASSESSOR USE'ONLY ,Sk ".n..TRUEETA%ALUEat AT 100, oOF.. TTV.:...... sVALUE> ��t.. "v�3s'.rt +1ti�?VAL'UE,s.....
Land not exceeding I (one) acre Immediately
surrounding reside
Other Improvements
Total improvements (line 4 through line 6)
Total value (line 3 plus fine 7)
®
--
•:
and complete.
Verifying action - Sgiahire of Auditor •. -
AIL
v�f 'bryr "�.-y? J„3 sJk .'}�``F "m' STANDARD;DEDUCTIONALLOWANCE,y ' y„rr d?r_-;§' r,,,t'w,;Eiri,l„!,�.v'3� ^i(3�r -`
20 pay 20 Lesser of 60% of the assessed value of the hornestead or $45,000
not assessed as real property or to a manutiacturad ticnie that is nor assessed as real property my not exceed
IN
Fla