Homestead_JohnsonCLAIM FOR HOAAESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
Slrte Fam 5�73 (R6l M3)
Resafbed by the �epaitrneirt d Local Governmmrt Finance
INSTRUCTIONS: See rovarsa oldo karl66p i�u6ucBonp.
��
�R� YEAR
�C �ct! % �
AUG 1 4 Z006
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� M�e) �f certif�[tlfaBQmtheLetld�Y'°itU�iiTp q20
1(We) occupied as our princip lace of residence the followi s� ed real property for which a Homestead Property Tmc Credit is hereby daimed
❑ I(VJe) owned ❑ e buying under cont2ct �
, Have a benefidal interest in Ihe enfity that is liable for ihe property taxes on Ihe property and Nat owns ihe property or is buying under a wnVaG.
If buyug on conVact, Fee Simpte ownefs name
o16ce where contrad is reoordeA
County
H any portion o! Ne resiEential sWqure a
ot the properry uutizetl to produce i�ome.
Tamship
not axceeEing one
�#a�-ir- �i-�-a��G�o-oa�
Remrd number � Page
�� Roal property \J U A7oCqe Momo (I.C. b1.1-7)
wrrounds that ,`ucture is used b produce inoome, describa the use anA portion
>_r• � i , �:.�� �.+a � - -a ....� %Y�i��Y
� a�.�..: srvr . '�"` �-,�'°#,,,�;STANDARU!DEDUCTION'ALI.OWANCE:;� ^� �' "� �`'" ��'
T�''�C"�xTSif. aoe., a� yi_��.1�y.�''?�aY���•!tr_�.A'�K_3�Y.��:a'i��'x°.a
20 _ Pay 20 _
. Lesser of 1/2 Homestead S
VeluaOOn or 535.000
Signature of Nidhor ' Date signeA