Homestead_Denning (4)' ;\ CLAIM FOR HOMESTEAD PROPERTY:i9X , � - � . - � - FoRnn YEAR
CREDIT/STANDARD DEDUCTION - ' " ' ` I� HC�o
t / Slolt Furin 5:73 (R6I403) � ' � N\
Prescribed by t�e Oeoarimenl ot Local Govemm�nl Firiaric.' � � .. . . '
INSTRUCTIONS: See reverse side lor liliriy insrmr.6ans. . • - ` � � . .— ' Y, �
��f:y� a .3'�a: �_�'„-..:-T.l` , � sv� . uw ..n ` : l. R11!'I1.q11V1Y JIAICIIICIYI"Y .t.=.) . -. �e - .
I(We) � certify that on ihn�7h�t day of March, 20
I(We) occupied as our p n pai place o( residence the following described real prop y f r which a Homesi�RPf�p�t�.�f Credii is hereby Gaimed
H
I(We) owned Are buying under wniract ��/
' Have a benefidal interesl in lhe entity that is liable for the property tazes on the property and �thal owns`ttt,ybr,g�r{�fs.76uying under a contract.
�� �._� � UD�TOF
pN CO
�+'s":r:s ��'�L�"�5:•.''is ,'kX�`� �?t 3`_��.4.-_ ?-�4x ..�-' ii-�CONTRACT':RECORDEDi;:�; e E�I.BS . .. . .. ' .. _ .
If buyug on conVad, Fee Simple owners name
Recorders ofice where contract is recorde0
_ = .I
, . I Remrd number I Page I
OP.ERTY.�ESCRIP.TION" �;"a_�'':; �.'_-��- �: 'i' . . ' . .
County � Tavnship � ' 7mcing tli In '�o , tow
,
�1ylr�(q'��u egal description Is Ue property in que -
JV�'�oO —o ❑ R ❑ MobileHOmoll.C.6f.7-7)
11 any portbn ol �Ae �esidential :Wdure or �he land not exceetling one (1) aae thet immeGiatery surrountls that swcture' utl tn produce income, describe the use anC poNm
al ihe property uGlizaO to produce inwme.
--�� /� D� �O� - �dd �o?- D�/
�'`r:;r+ nd''�.={�ro�:1'��i"��:��:i;�,e,:,4',`3�,,PROPERT.Y.OWNED��BYGLAIMANT-IIJ�OTHER'COUNTIES";;s.;t,��.;'��7xv,^�`.,`,s'e�;.- `�`�� �:'.-'-
County - . Tavnship � - County To.vnship
I hereby certi(y the above statemenis are true, coved and complete. °� 01 �
' ldress (rtumber and s4eaf, city, stafe, ZIP code) -
' �/[ !t Q O w G..�SVI �� C ,`� /✓ �'.i
�`��"�'++� y�"�"��'""�'�"�' ��r E'�Sp i`�ifA�" � 'tTRUE:TAX ASSESSEUVALUE HOMESTEAD � # +i�NON-RES�DENTIAL��,f ��
'-�w',[ ,�ia"�ASSESSOR USE ONLY ,��^.�_„ ��,�' .,�' VAI:UE t`y-;+ rAT 100°/,-OF TTV � � VALUE�r� � {+ k'3 �`y "" VALUE�..-:�'¢'R � -.
L.� ..#sr�.:S:.'?1x l �"y+�. �-q'£r,..} . . aia�. ..-, - ^�'�i_'. ..roc.�� �a � a.s...-.-..
[
Land not exceed?ng 1(one) acre immedia[ely � �s�� �.{�"�F„-ry "s i i
surtoundingresidentialimprovements. ( � �.y,�.,�,;,,�??�s,,,�"�.-�;_,i5?-�'��'t
Otherland � ' (2) '`'�'"-�.,}�`��`c���+"'�.
��,x.t.��s.':s'f3 ,,�;
TUaI land (line 7 plus line 2) - (g)
. � � Dwelling (4) y' �'�k�a�r.r� 3;��..'[��'1"�i�.5
Residentlal improvements or Mnualy
Assessed Mobile / Manulactwed Home - - r�i�',.r.;i=�^�a�'i�:� �'-��`"' �5=_
Garage �5) "rb.:.c;�'.,�:�;°��:�.:��:;�`;:tx?�:�'�:`
^r > _ '
Otherimprovements � (6) }'t,y ���y,i. .i
:.=t^...5-. .r.a.�
Tdal improvements (line 4 through line 6) (7)
T�fal value (line 3 plts line n (g)
I hereby ceAify the abOVe i5 W e, carred, and Signamre ot Assessor Date signed
complete.
Veritying aclion - Signature oflwditor � Date signed
.`•°��k`"`�'�'�i�i �?C�`..::�..r37�:3i:%r'c��x:.'�'ti.STAN�ARD�.DEDUCTION'ALLOWANCE .Ts..�:,�.d!Z.:e.:�`.� .�•::e`".� �".k.:�i�-�«�:._.:�
20 _ Pay 20 _
Lesser of 1/2 Homes,ead
� va�uauon or 535.000
S
Signawre otAudit« - � Date signed