Homestead_Richardson (4)CLAIM FOR HOMESTEAD PROPERTY iAX
� CREDIT/STANDARD DEDUCTION
♦ � State Porm 5473 (Rfi / {-03;
Prescnbed �y lhe Departmenl of Local Govemment Financ��
INSTRUCTIONS: See revcrac sidc !or /ilinr�
which a Homestead Property Ta� Credit is hereby daimed:
�(VJe) owned ❑ We buying under contract
� Have a benefidal interest in the entiry that is liable tor ihe property taxes on Ihe properry and that owns the property or is buying under a contract.
�N;aEr.-'a:^�ew-�'it�. c7:,..�-'"ct:3 ,.r-.,.�:r `. :.,r..;t',;;:'�CONTRACTRECORDED_'.' - .- ._ . -- . . z � _ �
if buying on contract, Fee Simplo ownefs name
Remrdefs olfice where wntracl is recorde0 Rewrd number Page �
Counry
Parcel number
�5 -c� 9� �
If any po�ian ol �he residentlal swcwre w
ot the pmperty u6lized to produce income.
Tawnship
aescnplion Is ihe pmpert}�iqqeEStion:
'le1,S4� �4" 3—/1 �fi`-�property ❑ MobileMOmoQ.C.6Lf-7)
not exceetling one (7) acre t0at immediatety surtounds that structure is used to produce income, describe the use and ponion
/�`�
I ��-�� �0-o3oo-a�. 9as-ooz� I
:_ . . _.. .�
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��{,4'�� "�ASSESSOR�USEON Y.; . - ` � � �.TRUETAX ASSESSEDVALUE �HOMESTEAD�-� NON-RESIDENTIAC.
� jY y f � ty,�.:�c.>_-y---, _ -.� -� � �. �. � ' VALUE -� AT_700°/a OF'.TTV .'�' VALl1E .� '_{ ` .�,': '�'NALUE''s � � ' .
.,: 3v .. u..:...F. ..
'Land not exceedinq 1(one) acre immediately "t?�'>:i7j"%'"�"=- --, -
surrounding residen6al improvements. (�% . �. ' ' - �
Other land (Z) ..
Tual land (line 7 plus line 2) (g� �
Dwelling (4) `- _
ResidenUel improvements or Annualty �` '` � � '` ` �' " �
Assessed Mobile I ManufacNred Home Garage :•�.x�;�' T;` �- -�.-�.' :- _� .
(5� - .. . ._..
Oiher improvements (6)
Tdal improvements (line 4 lhrough line 6) �7)
T�ai value (line 3 phs line n (g�
I hereby certify the above is true, wrrecl, and sgnacure ornsseswr Date signed
complele.
Veri/ying aclion - Signature oflwdimr Dale signed
�-..���..1-`�;��: -� - e, ?� __ � �� � -STlWDAR�.DE�UCTIONALLOWANCE"�- - � � _ _ - �
20 Pay 20 _
Leiser of V2 Homes;ead
S
va�uauon or 535.000 _
SgnaWreofAUOilor ' � Datesigned