HomeMy WebLinkAboutHomestead_Speedy (4)rFp.l515S912''FO TREASURES NPAITSIA
\'FDBY STATEBWBn(i ACrlSU.\TS.2t A RIF_SCBBtEn BY TIE OePABn.Ut T OF LOCAL GOVERNMENT IIT'ANCE ES-I 1.2241
IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS ,
Individuals and married couples are limited to one homestead standard deduction. As the receipt of this
deduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead
("fraud causes higher tax bills for all; therefore, HEA 1344-2009 requires taxpayers who receive the
homestead standard deduction to verify that they are eligible to receive the benefit and to provide '
additional indentifying information necessary to allow county government to better monitor homestead
filings. This information will be kept confidential and can only be accessed by authorized county officials.
The Department of Local Government Finance will use this information to create tools that will help
county officials eliminate homestead fraud.'
PART I: PROPERTY INFORMATION
Property Address(number and street ci ,state,and ZIP code)
513 C . e- P-- � LI 7 62 70 .
State Parcel Number - � a '18- j 03 - 0o o , 619-6a 2 FILED
�r DEC 2 2013
. '-4 22/i.,
PART 2:TAXPAYER INFORMATION
Owner I 1/ First Middle Last
{I
Mailing Address a.mlber and street,city,state,and ZIP code) n Same property addrt
•
•ecurity
Middle Last
Mailing Address(Number and street,city,state,and ZIP code) n Same as property address
r
Social Security Number(last 5 digits) Driver's License/State ID Number (last 5 digits) Other(please specify in Part 4 below)
Sot,
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury,that the above and foregoing information is true and correct and that he or she is
eligible to receive the homestead standard deduction on this property. Each undersigned also understands that, by claiming additional
homestead deductions unlawfully, he or sh‘may be liable for back taxes and substantial financial penalties.
O net 1 Signature Date Telephone
� �(/
MvP L * Li-
�, CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
,r State Form 5473 (R6 / 4-03)
Prescribed by lhe Depanmenl of Local Govemmenl Finance
INSTRUCTIONS: See reversc�ide !oi /iling insfmcifons.
�
�°' FORM
HC10
YEAR
�(We) �� certi(y that on the tst day oi March, 20_
I�(V�Je) occupied as prindpal place oi res ence Ihe followi cribed real property for which a Homestead Property Tae Credit is hereby daimed:
�J I(We) owned ❑ Are buying under contract
, Have a benefidal interest in the entity that is liable for the property taxes on the property and tliat ovms the property or is buyfng under a conVaU.
I( buying on conirad, Fee Simple owners name
Remrders office where conVaa is recorded
�� _
�_� ��'a�w�_--.��r��'<S�—e.-�3�"�
County . Tamship
If any poAion af Ne resitlenllal structura w the Wnd not exceetling one (1)
of Ne property uti¢ed tu produce irkome.
Tacing
Record num�er � Page
�erty ,in /question:
,b Realproperty ❑ MobileNOmo�1.C.bf.f-n
swcWre is used tn produce income, desaibe Ne use and porvon