HomeMy WebLinkAboutHomestead_Weiss (5)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Forrn 5473 (R7I 54M
Prescribed by the Deparbrent of Lo®I CaAxTffwd Fi
INSTRUCTIONS: See reverse side for Ming insfrucdons.
ml
OCT 2 4 2007
I (We) I I --V-/zxj y IAIZ.1� mdrry th"BON td�W WVV)Wop_
I (We) occupied as our M 4�w pladol residence the following descrbad real property for which a Homestead Property Tat Credt is hereby daimad:
I (Vie) owned ❑ Are buying under ocinbrad
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owrns the prop" or is buying under a contract
If buying on contracL Fee simple ownees name
RaCorder's of5m Where Contract is rnuarded Record number Page
is
PROPERTY OJESMPTIOW-.
Tornship
C-Unty
Tarrshtip
I hereby certify the above stalainents are true. correct and conplete.
Tacing district (cily imm.
1111111kirass (nwtw and street c* sfiatq� ZlPcode
WIND Ozpq�k L) 44(111b &t- i
Parcel number
K54E
Is the prop" in question:
Valuation or MOW
rnw=-
4P�"
❑RmJ property
❑ M.M. H. (LC. &1.1-7)
If portion of the rr hI'm struchme or the WrK&6
exceeding one (1) some that inmiscliately summinds Vmd 9nm;hze is used be produce incorna, describe the we and portion
property utilized 10 PID&FC6 VWX)frS.
surrounding residential ifftprovements.
172-00?
is
County
Tornship
County
[Ttnvrship
I hereby certify the above stalainents are true. correct and conplete.
0 A-i
1111111kirass (nwtw and street c* sfiatq� ZlPcode
WIND Ozpq�k L) 44(111b &t- i
�j qt 09
is
.STANDAIM Dswcmm ALLowmm,',�
'r
VALUE
'NON
,,.ASSESSORUSECwL*
0�
!.TWETAX.
,kH"0'tWSTEAD'
K54E
Valuation or MOW
signstme of Ammar
Land root exceechng 1 (one) aore iffmadately
Date soned
surrounding residential ifftprovements.
Other land
(2)
Tdal Land (litre 1 plus line 2)
(3)
ResidentiaJrnprom,vntsorAnrujai?y
Dwe lling
(4)
Assessed Mobile I Manufachned Home
Garage
(5)
Other improvernents
(6)
Trial iryVmvwmft (roe 4 through Ene 6)
(7)
Tdal value (line 3 pis bm 7)
(8)
1 hereby certify the above is true, correct. and
cornplete-
Swohme at Assessor
—1Da;
Date signed
Verifying action - Sqnrrtr e of AuMm
signed
.STANDAIM Dswcmm ALLowmm,',�
20 — Pay 20
Lesser of 12 Homestead
$
Valuation or MOW
signstme of Ammar
Date soned