Homestead_Hite (2)rt�" CLAIM FOR HOMESTEAD PROPERTY TAX
:. - - � CREDIT/STANDARD DEDUCTION
State Fam %73 (RB ! 7-07)
•� � Rescnbed by �he Deparimenl ol Loral Govemmeni Financa
INSTRUCTIONS: See leverse side /o� frling insWcfions.
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MAY 2 2 2006
� (We) ( �/c-O iL/�J, �,� .( J ��� certi@�I�SC9P1 �lAVOdN Alii�PilFi`�—
I(We) ocwpied as our prin p I place of residence the following described real property for which a Homestead Property Tac Credit is hereby daimed:
I(We) owned LA„/Are buying under contract
Have a benefidai interest in the enGly that is liable for Ihe property taxes on the property and that owns the property or is buying under a contrad.
If buying on contracL Fee Simple o.mats name
Recadefs M6ce where conUact is recarded
Caunry Tdmship
Tacing disVict (cdy, to:m, lo:mship)
Record number I Page
Pa�cel number Legal descnptim �/p1�y�..,� 7— � Is Ne �rty in questku4
��'' JU `° �� — J� I ❑ Real ploperty ❑ Mobila Home (IC Gf. f-n
It any portion ol lhe residerNal struclure or Ihe land nol e�cceeding arre (t ) acre Ihat im�afely wrtounds ihat siructure is used to produce inmrtre, tlescnbe ihe use and porlion
of Ihe property utiGZed to produce inoome.
ad-i� -a�-�oo -oo�. �o� - ���
,_ , . . .. . .
,,.. �
Land not exceeding t(are) aae immediately - - �, •
surroundingresidentialimprovemen[s. (�) .�� ' .
Other land �z� �
Tdal land (line 1 plus line 2) (3�
Dwellirg (4) � . . • � � .
Residential imprwements or Mnually � -
Assessed Mobile / Manufach�red Home ' - "
Garage (g) _ � ' . _ -.. .
Other improvements (6) � � �
Ta[al imprwements (line 4 through line 6) �7)
TUai value (line 3 pl�s Glre n (g)
I hereby certi(y Me above is trve, corrett, arxl Signawre af Assessor Date signed (monfh, day. yeer)
complete.
Verifying adion - SignaWre of �tor Date sgned (mmN, day, yea�
�v_pay20_
Lesser of i!2
Homestead Valuation
w
45,000 for 2007 pay 2008
44,000 for 2008 pay 2009
43,000 for 2009 pay 2070
42,000 for 2070 pay 2017
47.000 for 2017 pey 2012
40,000 payable after 2012
$
oflwdimi ' =� � Date signed (manN. daY.Y�