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Homestead_Kaucher
e CLAIM FOR HOAAESTEAD PROPERTY TAX CREDIT/STAPIDARD DEDUCTION smm wm, sars �rs� i soe� Presx�eA by tl�e Departrnent of Lual Gouerm�d Fvw�m iNSrnucnorrs: s� �� sba ra ramy m��. . _� ; '' ��: I(We) �� o e 71�1. �# y- � V�s*] 51 n em_> ^ Q 1 1 c h[11� certiy oi Marrh. 20_ I(We) ocapied as av prmdpal plaoe of residerwe the ToAOwirg descnbed real propeAy (or which a����I��arebY daimed: �I(We) owned ❑ Me buymg unda mntrad Have a benefidal c�feRSt in tl�e entiry fhat is IiaMe fir C�e property hazes m the proprsly and tl�at wms the property or is buying under a cantracl � � � ' ' � ' CONTRACT;I�CORDm :' �ij•�;N.- �. �.�,iS': � � ._ '"'� �� i `, �-'�rs`..� �rc buy.g on m�tracl r�e sirt�le ownera nan,a �. �.. � < . .. „ . . . . . ..._ .... f�de/a WE� W�ae mbae is r�ded Recard numher Pege C.auty ,� Pa�l nmd�er TowrNdp Legaldesaip0an 11 anY PwEO� d Ue r�iderN� struchue a fha haitl nal n�rg ore (. d Ihe paparly uG(�d to pmdwe "uwm�e. a�-�-�-� � av� -o�y b Ne praperty n �tion: . ❑ Reel p'opery ❑ Mahib Fbrtie (LC. 61.1-n � � aoa mat.nmadaely a,�m� vet sLum.a is usea m pmmce'rimnie. deax�a ma ime end par�iw, -� �3 -oa � . .. , ._ . t. . • , , � vROeQmr ow►+m er c�aordHT oi'on�� coux�s , c . ° � '� t. . ' i',.u�.�: Counry TovnshiP ��ry Twvnship re d maY i t�reny c�t„ a�e anwe 5moerr�,r� are we. mre« ana w�m. �'�a a Q. iw (nurtx ad,�t dA: smm. z� mee) 9549 W. 575 S Otde�sv: Lr� �(76 �, AS�SORUSEOMLY `. ;" n � id`+ �;'� TIMIETAX Y ASSESSED VALUE HO�ffSTEAD` � n '-f4NON�BJ7ULLi['�`5,�,�y� � � - . %+. VAL.UE; ;`AT100'/�OF77V n FVALIJE �,�. .n rctar,rVAL.UE:3.�..�i�t�!:t�.:� s � e i�t r;�l}4K m�. RPK:J?3 Lend not Bsceadirg 1(one) aae itm�e6a�ly `. �� �, y,,��' a�� #4t� +,. #� SlrtrOUnd'vg resid2n521 iR�pfOVCrt�enfs. ( ) �o rb ^ s?i'�. : % .r5.'`-.`?k.�.� i�r.':�5� � Otlierterd (2) J , ,`,{b;,�,#:+i�'� . Td� land (I'vie 1 pkrs irre � �g) �S��X.�+H�C �R,�q�,,ly+��e'%"v ftC94E.'fl� RfIpfOVBff12f1�5 Q i1fIf1U8�h ��� (4, �' � ,�5��. �X � � #i:14�:�r� f s�"t'{`�+j�} �^ MO�C��R/�41E�ii0fflB i ..r �t��4'xla�r' ��'•��y5���*��{� ��e �5� ��.��, v".4.. ✓.N�il .M, ���4it-5;�.c /1�L� C � 4 1 VYF� unproyanenis (V) . �:'�k� � � � � -o-,�.,. �. �. , Tdal 'unprovemenfs (fare 4 tlwugh 6ne 6) (7) Tital value (/'ore 3 pks ffne n �g) I I�eteby certify ihe above es true. mrted. ard sigrmtue ot A4v�a Date sispied COrtlpl6l9. Vai�r�g aman - sigreaee or a,�mr Da1e agned _ .. � . .t . � :STM7DARDDEDUCTION�ALLOWIWCE r �.�r`.�.:� e.s"a':``;��C'�'C...;`�i.� 20 _ Pay Zp _ Lesser of 12 Ho�ead Vahiatim or 535.000 1 si�amue ot Pudimr � �