Homestead_Jochim (8), CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
SL�Ie Farm 5473 (R6 / 1-03)
Prescribed by lhe Department of Local Govemment Finance
INSTRUCTIONS: See reverse side Ior filing inslruc(ions
�a�
FORM
HC10
YEAR
�(yye) �`e���� �-:�'�LJ�.�W 1'V`/ MAY��, �5 � 2��4 �tst day of March. 20_
I(We) occupied as our principal place of residence the follo ' described real property for whiG/y/a�Homes�tead/Prop�erty Tac G//edit is hereby daimed:
❑ I(VJe) owned ❑ Are buying under contract j� ,,., �. 1�,[�i�
d �"-�
�.�����..� nir�rv ..IlOir(�°
Have a benefidal interest in the entity that is liable for the property �axes on Ne pmperty and�that.owris��the�property or is buying under a conVaU.
If buying on coniraq. Fee Simple owners name
Reto�defs ofite where conhaa is recorded
Tamship
�`=0�5�a-od"������ao �/�
H any portion ol lhe residential sW cWre or the land nat exceetling one (i ) aoe ihat
of the property utiGzed b produce i�oma.
_ �f-� /
Tating tlistrict ( owq]
Y
Is the pfoperty
ON surtounds tha[ �
Record number
� D�opeM LJ Mobile
is usetl tn protluca Income. �
Page
use antl ponion
���'�ASSES OR E�ONLYi��� �� � TRUETAX��*� �ASSESSED�VALUE HOIdESTEAD'< ON N=RESIUENTIA3L�' ���
x-f: �''� �'et �-.�"t;�S�,^�._...... '`�_'�`r`:�s;".�� ��iYA1:UE��� yATx100%�OF�.�:s �<VALUEs-�� ��u''�re :.iS'�'.�.+VALUE�?,i;:�'�`°`•��
Land not exceeding 7(one) acre immediately "��s,��,��y'�,'.��'���a"'��,
surroundingresidentialimprovements. (�) ��`��3�����a���.:
Other land � (Z� ���*���
Tdal land (line 1 plus line 2) �3�
f F�' `��.��
Dwelling (4) `�'�` -� '�`c-'b g :�r�;�
Residenlial improvemenfs or Mnua�y �-�'u°'F "� `�""�` "'�
Assessed Mohile / ManuFadured Horrre Gara e �� ��"^r.. � ,a.'�,.'` i
9 s �a'�xi����'�s.�.�'�
si�3 � �t4
Other improvements (6) �-�:'='�'1.; �%y
�'3�'�-Y, �, e.•:��'�
TUaI improvements (line 4 through line 6) (7�
7otal value Qine 3 phs line n (g�
I hereby certify the above is W e, wned, and Signamre ofnssessor Date signed
complele. �
Veritying action - Sig�ture otlwditor Date signed