HomeMy WebLinkAboutHomestead_BoatmanCLAIM FOR HOMESTEAD PROPERTY TAX �� [[�]IFHO RM - � } CREDIT /STANDARD DEDUCTION # C10J
State Fonn 5473 (R614 -03)
Prescribed by the Department of Loral Government France SE P i 2003
r�� GES011 002ATY AUDITOR I
I (We) N—�� I • �• .5.� `-' " o certify that on the 1 st day of March, 20_
1 (We) occupied as our principal place of residenLe the following describedl real &perty for which a Homestead ?operty perty Tax Cr it is hereby claimed:
I (We) owned ❑ Are buying under contract Jjj�� \�
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the or is buying under a contract.
'- ONTRACT.;RECORDEO=u�.�
If buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
_. _ - __ -
PROP,ERTI;<UESCRIPTIbN ��-
County -
Township
T " istrict (city, town, township)
Parcel number
Legal description Is the property in question:
t'
❑ Real property ❑ Mobile Homo ( /.C. 61.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
d6 - a6 -30_ � -/) -00�
s' acv.. ������' G. 2��- ��PROP .ERTY,OWNEDBYCLAIMANT,IN'; OTHER' COUNTIES ,;�,''iL,ri`.o�a- �y'�ji�'� rs?��t,� -"
County
Township
County Township
.�� _ ,.
t'
I hereby certify the above statements are true, correct and complete.
Si
ature of clai nt
•,ldress (u r and city, state, ZIP code)
h�, ?iHis?sJ9'.'`� a
ASSESSOR USE ONLY'
v.� •'p3v�h-
? TRUEaTAX r
ASBESSEDVALUE
#"ATj100
HOMESTEADNON;RESIDENTIAL
.�� _ ,.
wVALUE
%OF;TTV.�s
y VALUE.�M,i�VALUE'w.,.'^"r
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(t)
Other land
2
()
'A
a`x" ET
Total land (line 1 plus line 2)
(3)
Residential improvements or Annually
Assessed Mobile / Manufactured Hone
Garage
(5)
_
14�:.ol�.Tr� II•'.2 L .
-
Other improvements
(6)�
Total improvements (fine 4 through line 6)
(7)
Total value (line 3 plus line 7)
(6)
1 hereby certify the above is true, coned, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
E A..•':' -`°"' rev -s'' ISTANDARDDEDUCTION ALLOWANCE t''� =''' "'T ' +' "s`• rt
.. � .- a.�x�k Gs' Tb.. r° �s 3> ��i-^ a�i�. Y' 1'c'�:r`+.�ti":4:�S��i,.>r• =,k
20_Pay 20_
Lesser of 112 Homestead
Valuation $35.000 7 $
Signature of Audhor Date syyi red