Homestead_Bashaman
CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
CREDIT/STANDARD DEDUCTION
State Form 5473 (8715.06)
Prescribed by the Department of Local (33overrunerd Finance
INSTRUCTIONS., See reverse side for filing instructions.
I (We) 'i'T :��AaAxtzyy%-' certify that on I
'n�!L place of residence, the following described real prop" for which a Homestead Property
I (We) ticcuyed
I
❑ l(We)owned ❑ Are buying under contract JUN 2 9 2007
,r&Ha.e a beneficial 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
cowiRiwrmmommy,03�' W-V � *�MM
ff buying on ..b Fee Sirriple owners narns,
Recordeft afka here contrad is recorded Record number Page
V4UfMZ-'WrA91; 1$11 .i�PROPERTYOWNED;BY-CiWMANTENOTHER-COUN7nE�6"�M4�'Zg�t-�l�V %)':V1QW.VPA
Mil PROPERTYMEWRI&IO
Colff dy
Tiawriship
Tivang district (city, to". towns*)
�Parcel
,!wjj
. q-1CO.Mg.,�q
Legal desciption
Inal
is the property in question:
I ❑ Read property ❑WWI, Home (CC. 61.1 -7)
N airy =rftb2=Wd=.Z the lard not exceeding one (1) tons, that immediately surrounds that stricture is used to produce incerne, describe the use and portion
of the
V4UfMZ-'WrA91; 1$11 .i�PROPERTYOWNED;BY-CiWMANTENOTHER-COUN7nE�6"�M4�'Zg�t-�l�V %)':V1QW.VPA
County
I Township
County
Township
1 by oer ?a abAve a, correct and complete.
j . MIA Zaaretru
Signature of cLairnarg
Address (nurriber arid stimut city. sta
ALM W
Li4Q(-
0 S
,tASSESSEDNALUE
V.
,,��HOMFSTEAWWY:
�f
N ID T1
IT
No AES FS
.. ........ .
Lesser of 1R Homestead
Land not exceeding 1 (one) acne immediately,
Valuation or $35,000
$
�0 _Q;YWA
surrounding residential improvements.
Date ad
Other land
(2)
rte
Tcted land (fine I plus [no 2)
(3)
Dwelli rig
(4)
gi
Z �
Residential improvements or Annually
5001"M§ ar
Assessed Mobile I Manufactured! Home
Garage
gp
(5)
Other improvements
(6)
Tdal improvements (rme 4 through fine 6)
(7)
Toted value (fine 3 phus &* 7)
(8)
1 hereby certify the above is true, correct, and
Signature of i1seessair
Date signed
complete.
Von" action - Signature at Auditor
Date signed
20 _ Pay 20
Lesser of 1R Homestead
Valuation or $35,000
$
Signature of Auditor
M aAA ka'L-�
Date ad