HomeMy WebLinkAboutHomestead_NeufelderCLAIM FOR HOMESTEAD PROPERTY TAX FORM
CREDMSTANDARD DEDUCTION
State Form 5473 (R7 / 5-06)
Prescribed by the Department of Local Goverrunent Finance
INSTRUCTIONS., See reverse side for Ring instructions.
I (we) -JL ckf5rtraf oin 15;'1 j-d-a-y of march, 2o—
which a Homestead Pun I (We) occupied as our principal place of residence the fbk!�ng de al r��! t Credit is hereby claimed
-1 1 U L I
Mki (We) owned ❑ Are buying under contract
IW.•1ave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the pmpertyqrysbuychq under a contract
N buywig on contrack Fee Simple owner's name
Recorder's oflice where
Record number I Page
bP1FiGPERTYtDESClilRTl -i
Courely
T�hi . p
Taxing district (city, town, towns&p)
31"-M-34-qQ3CX-
W-66-ci
is the property in question:
I [] Real Property WWI. Homer (LC. &1. 1-7)
If any portion of the residential structure or the land not exceeding one (1) am that anmediately surrounds that structure is used to produce income, describe the use and portion
of the property Wizad to produce income. 310
V
;f..' PIMPERT.Y.OWNED BYCLAJMANTIN'O*ER'COUNttESIMt.k.idt-r4W�,4* %L.� *,ki,;
County
Township
County Township
I hereby certify ft above statements are true, correct and complete.
Stgnatunpf claimant
W(nwb. and street city, date, ZIP code)
L-W " Zz ? - M � 5 ;- ; ,
rNOMESTEAD
'-'XNON41ESl1DENTtkL�,t'%,*
FL
'-VALUE.-.
'•3`i VALUE
Land not exceecling I (one) am immediately
(1)
surrounding residential improvements.
Other land
(2)
Total land (/cue I plus [no 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Garage
"tN "V.-
Q
10
Assessed Motile I Manufactured Florne
Other improvements
(6)
Thal improvements (roe 4 through fine 6)
(T)
Tated value (line 3 jake tine 7)
(8)
1 hereby certify the above is true, correct. and
complete.
Signal ureofAssessor
Date signed
Ver" action - Signature of Auditor
Date signed
20 _ Pay 20 _
Lesser of 12 Homestead
Valuation or SM.000
signed