Homestead_Greer (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Fwm 5473 (R6 / 403)
Prescribed by the Department of Local Govemment Finance
INSTRUCTIONS: See reverse side loi lilinq insfiuclions.
FORM YEAR
HC10
��e) �S 0—�_�S� � certity that onMe Flst dayJoYMBtCh, 20_
I(We) occupied as our principal place of residence the following described real property for which a Homestead Pcoperty Tac Credit is hereby daimed:
�(We) owned ❑ Are buying under coniract /��� � n
/"z.�.�^,"-�/uJ�� .J�
, Have a benefidal interest in the entity that is liable for the property taxes on the property and that mms lhe property,oris`tiuying�undera contract.
If buying on contrsq, Fee Simple ownets name
afice where conVaa is recoreed
Counry
Parcel number
Yl � 'l \' 1
poNOn ol Ne resitlentlal sW cWre a
property utilizeA tn produce income.
Tw�nsldp
Legal deuription
tlisirict
land not exceetling one (1) acre that immeCiatey wrtounds that
IownshiP)
Record number �Page
MoWle Momo (I.C. 6f.7-� .
is used b produce income, describe Ne use and portion
� .�� - //-/� �Qa - �OO. �9/- o�-/ �
�� ��'`��� �` `'���u��"��y�fi�'-��5� �'�`TRUETPJC��. ASSES§EDVALUE �HOMESTEAD�`'.`{� NON�2ES�DENTIAL��,'�� �
'��,� � iASS�ESSO�R��USE�ONLY ,z -�.�.YALUE=Tt`� r'i KAT2100%..OFTiV F- ' VALUE£'- y ."s$�i';`VALUE �" ��
' . � ,,.� � .�.-�' '3`"�:.zcc'i`.�3 4Y�x ...x -..� �- .^..7„ �.,� .��-%a �,,,.r�� d��m.tz...,..a... �.3?�'sirr_
Land not exceeding t(one) aae immediatety (� � y�� ��-r�-.u������",�'����
surrounding residenlial improvemen6. � ,, �����.,��� �
Other land (2� `-���g'`��"��r'S,�K*�^ �
r��� fi�u--T"^ 3
Total land (line 1 plus line 2) (g�
Dwellin q .-e'sz��-��` F�v_�'`.t3
9 � ) •?� } s. r..5`. `�`�.ti�
Residentiel improvements or Mnualy �:�^r�'���ce�i���'�'s:d
Assessed Modle / Manufadured Ha�re Garage (5) i�f'�`�Y� -a .. '`='?,?'`r••�
��� " �
m �fz'�..�v,:�-=d
.�:..�.; -
Other improvements (6) �, iT��.�'���
r_. w
TUaI improvements (line 4 through line 6) (�)
Tdal vatue (Gne 3 plus line n (g�
I hereby terti(y Ihe above is We, covek, and Signamre of Assessor Date sgned
complete.
Verirying ad"an - Signature oflwditor Date signed
'•�•+�"%.`�.'�.�� - �"-�'�'"�°'r�-3 ��„'�b�',� `a��'�+'3�1`�.STANDAR�!DEOUCTION ALLOWANCE t�x..�f`,��'� °'.y0.�5'�; a-"�-,,�'.r,"�i'?¢JR at�4:.$';�'��`,x�`,°,� �
20 _ Pay 20 _
Lesser of 1/2 Homestead g
vauauon a E35.000
SgnaWreoflwditw - Datesyned