HomeMy WebLinkAboutHomestead_CurtisCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Form 5473 (R6 / 4-03)
Prescribed by the Departrrront of Local Covartmem Finance
INSTRUCTIONS: See revwco aide for filkV irnbucitim
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JUL 2 7 2005
STATEMENT r r .mss..° y7r."= . s, . x:.vgpiTf - ?ity�' ^?`3 't.. >i „d`'•,,
I (We) O certify that on ttchnee 1 q6gj $" 13DR
(We) occupied as our principal pl of reside the following de be eal property for which a Homestead ProAfsl ac Credit is hereby claimed:
1 (We) owned ❑ Are buying under contract
Have 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.
s*,•:� -.c `zCONTR{1CT'RECORDEDs�{y �a�..,r �`.. =•s- �?t}:vu•,��ayrR,i��v.t,�rs
- 2i1�'da-�K
If buying on contract. Fee simple owners name
Recorders office where contract is recorded Record number Page
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''r 6� r ?P,ROFERT,`/;DESCRIPTION'"e'Y
County
Township
Taring district (city to , township)
Parcel number
Legal description
I the property in estion:
V v
�_jr`VALUE�+1.
❑ R property ❑ Mobile Home ( /.C. 6.1.1 -7)
H any portion of the residential structure or the land not exceeding one (1) ace that immediately surrounds that structure is used to produce inane• describe the use and portion
of the property utilized to produce income
.� - O -OOH '90 /
/O
- - - -
ROPERTY: OWNED��BY�CI 'AIMANT.IN:OTHER'000NTIES.� : �= �-. ��. ??��9 '"•�:).�?��u°_�F':t�!��"_`��.
County Twrnship
County Tovnship
hereby certify the above statements are We, correct and complete.
Signatur f ctaimant
ddress (number :=t. city, state, ZIP code)
IPIe /GO l.Ae.A ; y7G6S
�3 ASSESSORUSE ONLY = z
TRUEeTAX�u?-
ASSESSED VALUE
.�HOMESTE?J
NON- RESIDENTU1L�g'
�� +r
.y�VAI.UES ar
/1Ta100 °/.,OFy'T7V
VALUE
�_jr`VALUE�+1.
Land not exceeding 1 (one) acre immediately
surrounding residential improvements...�vtr.�'Mc,,2��''
F`
Other land.:"
Total land (line 1 plus line 2)
(3)
Dwelling
(4)).,
Residential Improvements or Annually'
.,G.z
Assessed Mobile / Manufactured Hama
Garage
(5)
Other improvements
(6)
?:' �'•'• �
Total improvements (line 4 through line 6)
(7)
Trial value (line 3 pf s line 7)
(6)
I hereby certify the above is true, corned, and
Signature of Assessor
Date signed
complete.
Vedfyug action - Signature of Auditor
Date signed