HomeMy WebLinkAboutHomestead_Osborne (2)CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEaR
n ; CREDIT/STANDARD DEDUCTION HC10
` � ' Stafe Form 5473 (RB / 7-07)
Prescnbed M tha DepartmeM of Lom� Govemment Finance
INS7RUCTIONS: See ret�erse side for fifing mstrucfions.
I(VJe) U certity that on the 1 st day of March, 20_
I(We) otcu as our prindpal place of residence Uie fdlrnring described real property for which a Homestead Property Tac Credit is hereby daimed:
�(We) ed ❑ Are buying under contrad
rleve a henefidal interest in the enfiry ihat is liable fw tlie property taxes on the property and that owns Me properry or is buying under a contract.
If buy'vip om m�Vap, Fee Simqe ownefa rqme
Rocortlefa ot6ce wheJe contraa is
Caunry
Parcel number
TwnSNp
Legaldescription
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Recdd number Page
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n (cify, fown, town i
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Is Ihe property in queslion:
I �eal property ❑ Mdzle Fbme (/C 6-f.1-n
If arry portbn of the residenGal sUUClura w the land not exceedirg orie (7 ) acre Ihat immediatety wnounds ihat siructure is usetl m pmduce Incortre, descnbe Ure uu aM portbn
of Na propeNy uUGzad to produce income.
a�- ��- �-�-tia6 -�oa. (�3 lo -o� 1
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Land not ex�rg 1 (orre) a�re immediatety =- -�,.'- : . � � .
surtoundiryresidentialimprovements. (�� ?.::; ''
OUler 12nd (Z� i:;-�:i, :'if': : -� : ;;
Tdal IarM (line 1 plus 1'Ine 2) �g�
- .-s„s .h�- - - �.'�.,
ResidentialimprwementswMnuaily �I�� (4) _ �i �` '� � Y �.� �.
�.
Assessed Mobile I ManufacWred Home . .�.. : : � �-.� . � '
Gawge �g� - •=Y. :
Other improvements (6) - ""`P' �� � -
Tdal improvements (line 4 through lirre 6) �7�
Tual value (line 3 ples GYre 7j �g�
I hEt9by Ce�Efy the abovB i5 W¢, COfTEd, 8M1 SignaWre of Assessor Date signed (mmfh, day, yeal)
complete.
Verifyirg adirn - SipnaWre MAUdibr Date signed (monih, tlaY.Y��
�.•� � � • •
" �Y 2� — 45,000 for 2007 pay 2008 42.000 for 2010 pay 2017
Lesser W 12 qq ppp for 2008 pay
Homestead Valuation PaY 2009 41.000 for 2011 2012 $
« 43,000 for 2009 pay 2010 40.000 payable aRer 2012
SignaWre oFlwditur Date s'gned (monN, day, yea�