Homestead_WeberCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT /STANDARD DEDUCTION x10
State Form 6473 (8614.03)
Prescribed by the Department d Local Governed Finance, VT
INSTRUCTIONS: See raysrm &I* b MV km&ucdwm F EB 2 1 2006
I (We) T certify that on the 19 Ni0(.oA' ' 20
I (We) occupied as our p cipal pla f resi ce the following described real property for which a Homestead 8,lrciedit is hereby claimed:
I (We) owned El 'ng 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�zs,��c� *act- •'".{S'`:�r,��'Y�'�
If buying on contract, Fee Simple ownets name
Recorder's office where contract is recorded Record number Page
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R0P, ERT, Y�DESCRIPTION >�i+�2�`�'���'�,.� -�
County
Townslup
I hereby certify the above statements are We, correct and complete.
Taxing d dry, t ownship)e -
/%f
Par I number /
6��
L descdpC n
,VALUES
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Is the props in question:
Land not exceeding 1 (one) acre immediately
I
property ❑ Mobile Hone (LC. 61.1 -7)
H any portion of the residential structure or the land not exceeding o e
) e that immediatety wnounds that structure is used b producer intone, describe the use and portion
of the property utilized to produce income.
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., ,ASSESSOR,USE ONLY "�'VAL:UEyta"y
County
Tmnship
County Township
I hereby certify the above statements are We, correct and complete.
re a/<Tlaimant
/ JI
address (number and street, dry, state, ZIP code)
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., ,ASSESSOR,USE ONLY "�'VAL:UEyta"y
E TR E AX
ASSESSED VALUEHOMESTEADx
'
f�
N- ttESIDENTL
,VALUE
:,Sa�
M
rATx100 /.'OFITV,r
,VALUES
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+a f
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land```-
(2)
"��1XSr
rYt�i
Total land (line 1 plus line 2)
(3)
1
IResidentiallmprovements or Annually"')"
Dwelling
(4)
�"�-�, A, .e
Assessed Mobile I Manufactured Hone
Garage
OR 'tt'
y �t
Other improvements
(6)C-7-t`
ALM
Total improvements (line 4 through line 6)
(7)
Trial value (line 3 plus line 7)
(6)
1 hereby certify the above is We, coned, and
Signature of Assessor
Date signed
complete.
verifying action - Signature of Auditor
Date signed
# _
sy,�x�., ,Pay 20 �f - STANDARD, DEDUCTION'AL'LOWANCE`,'���`�.',
20 _Pay 20
Lesser of 1/2 Homestead
vafuabon or S36.DD0 $
Signature of Audhor Date signed