HomeMy WebLinkAboutHomestead_Beadles (3)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (R6 / 4-03)
Prescribed by the Department of Local Government Finanoe \_
INSTRUCTIONS: See reverse &W for Ming is ticdona.
I e)
I (We) occupied ou pnna Ltv
0 ow
❑ 1 (VJe) owned Have a beneficial inte est that is liable for the
FORM YEAR
HC10
for which a Homestead Property
.IUL 1, 2
taxes on the property and that
*March. 20
is hereby claimed:
buying under a contract.
If buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded ' Record number 1pa ge
Twinship Taxing district (city f o ns
ber Legal dew` p s perry in q tion:
A JP 1 -o C gwa m L $ -3 -la 6qg Real orooeM Mobile Homo fl C111 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 potion
of the property utilized to produce income.
�.*.'�_�r� > ��' r', �Y' �. �,._ �? P. ha��PiiOPERTY, OWNEDBY .CLAIMANT.IN'OTHER'000NTIESr �:,�`"��i�„„• ��.rr�,b".r� ? #,
County Twvnship
- s
ASSESSEDVALUE:
County Township
1 hereby certify the above statements are true, coned and complete.
Sigpatu of cla f YOU
C
�dr ss (mum
a
free
c , sf e. Z
-{u�s*i
' ' ASSESSOfiUSE ONLY•' ' `
t .e .n
.�iTRUE TAXsk
- s
ASSESSEDVALUE:
i,.
HOMESTEADi
�y,NON- 4,
4�VAl :UEj�srt+:.,AT1100%'OF.ITV,``2
VALUE„°
m v:a�u -. sir.VALUE;i,�{�.w'
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
(2)
� 1
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
'Residential Improvements or Annually
Mobile Manufactured Ion
Garage
5
. #WO�t'q —F :rtrR' U ,
Other improvements
(6)
rt �".
Total improvements (line 4 through fine 6)
(7)
Total value (line 3 plus line 7)
(S)
1 hereby certify the above is true, correct, and
Signature or assessor
Date signed
complete.
Verifying action - Signature ofAmditor
Date signed
20 _ Pay 20 _
Lesser of 112 Homestead
Vauatlon or S35.000
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