HomeMy WebLinkAboutHomestead_Lamey (3)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
Staft Form 5473 (R7/ 5-M
Prescribed by the Deparbnard of Local Cov&Tvrmd lZinanat, F ILA,
INSTRUCTIONS: See reverse side for filing infractions.
Mat 1 st day of March, 20
1 (We) oar* th
pif X LOL/r 2tV�
-Z "-'
I (We) occu as our pVdpW place of residence the following describedd reg Fpxnp" for which a Horl Credit is hereby claimed:
I (We) owned ❑ Are buying under contract -ry AUDITOR
GIBBON
COUN
Have a benterficial 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
CONTItACTRECORDED 4-
tf buying m contract, Fee Strimple ownses narna
RecordeesdIce -hat coritradis recorded Record number Page
PROPERTY DESCRIPTION'. 'A t
County
Canty
Toxnshp
TaxirV district (cly hamton, towns*)
I hereby certify the above statements are true, correct and cornpleete.
mm-bw
Leo
Is the property in question:
Saab" of Auditor
r —Wo.
I [:I Real Mparry
❑ Mobil. H. (LC. 61.1 -n
If airy portion of thatesidet sbix;Wm or the land not one (11; acre that vnnwxkat* unrounds fital slncbKe is used to prod" income. desarbe the � and patios
exoat��<,,,a
of the property WMmd to produce
40
� ' f OWNDBvzumlmm IN OTHERCOUNtts
County
Township
County
Towmhip
I hereby certify the above statements are true, correct and cornpleete.
of dairrart
(nanbff and street only, sfat% V U
70 & -LAqueL 77), OJ U"Jaz.,A, V 74,
Mai
It
TkUE.TAX'-'
ASSESSED VALUE
P,HOLT-STEAD'
Fs
USE ONLY
—
VALUE ;,
I --'AT
Saab" of Auditor
Land not exceeding I (one) acre iffirnediatefy
sunourding residential irnprovements-
Other land
(2)
Tctal land (fine I pka &?a 2)
(3)
Dwelling
4;( %'
Residential unpromnents or Annually
(4)
Assessed Mobde I Maniffectistad Hone
Garage
(5)
Other irnpravernenLS
(6)
Tdal irnprovernerris (rme 4 Ovough fine 6)
(7)
Thal value (Im 3 ph& fine 7)
(8)
I hereby certify the above is true, correct and
conplete.
S91ab" of AS
I
Date sipred
Verifying acbcn - Sgrabxe of Auddor
Date sigred
'q J:,','STMDAFW DEDUCTION ALLOWMCE',".'.V'?
20_ Pay 2O_
Lesser of 112 Homestead
Fs
Va%labon or 3135,000
Saab" of Auditor
Date 80-md