HomeMy WebLinkAboutHomestead_Brown (23)CLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDIT /STANDARD DEDUCTION HcTo
State Form 5473 (R7I s-as)
Prescribed by the Depertroenf of Loral Governnart Fiance
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.. ... ...... ..' CATION ST _,.. .. .:.:. � ,...;.._ ... , .:
I (We) °f cerlfy that'an,the 1st day a . 20_
I (We) occupied as our principal place of residence the Mowing described real property for which a Homestead Property Tax &a is hereby claimed:
I (We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the properly taxes on the property and that awns the property or` buying under a contract.
. CONTRACTRECORI ED
tf buying on .,bad. Fee Sinrale waters name
Recorder's office where cabad is recorded
Retard number Page
, `-PROP ERTY.DEsMPnoW','.•'."'' , ys', *.YI `Y :. y..z�'! ' w. ,`'. '?::.. �. x``
Corady.
Tnxrtslap
Tang district (city. . t) '
Parcel rwrber
Legal description
Ls the property it question:
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❑ Reel property ❑ Mobfie Home (LC. 61.1 -n
dire lard rwl eueeding� (, surrounds Vat �irbxe is used b produce ixArne. dessrbe the use and potion
porbon d Ord
property to We&" aw
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" - PROPERTY OWNED BY CLAWANT IN OTHER COUNT WS+':: ' w± ? ..: I+ '.r ;.•4^•.I
County Township I County JTownship
I hereby certify the above sta6ements are true, correct and complete.
ghpm (nwb® and skest aft: Stafe. ZIP code)
sign m of dabrarx
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USE ONLY, .. ,
TR' i' ' J ` IE HOl�ST<AD'
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'a 7tr• NON tE1I..UE AL�fn' v
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.ASSESSOR t
r 4 p!' i J
.Ter VALUE
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Lard riot exceeding 1 (one) acre inrnedie}ely
I , ,y' ` g '""'•'f t'"t?,2,�r'�3 3yh�t ,2
swToLodilg residential Improvements.
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Other land
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Tda1 land (Im 1 pkrs Eno 2)
(3) .
( <)
Dwe lliflg
Residential bnpfovernents or Anmlafly
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Assessed Mobile / Mamita(haed Home
Garage
(5) /
4
i'n.At�:P'
Other wnprovennents
(6)
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Total brryrovemerds (Are 4 through fine 6)
(7)
Trial value (line 3 pks line 7)
(6)
I hereby certify the above is true, correct, and
S4%atma of A�
Date signed
cornplete-
VaTfpng ackn - Signature of Aufitar
Data signed
STMDARDDiMC7)MAL.O%I"CE ,�g.'K"
20 _Pay 2(t
Lesser of 12 Homestead
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Valuation or 535.000
Sigrtabre of Audits
mna so-°d