HomeMy WebLinkAboutHomestead_Miller (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
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P�ew�f by the DeparUnent d L«al GouaruneM Fuance
INSTRUCTIOfJS: See reverse side /a filing e�struc&ons.
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cat�tcanai
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�(We) /g,(Lr/(,� mJY�Q� __ ��tF dayoiMarrti,2o_
,I�(W�e) occupied as wa prinapal placE ot: esidence the fcNowiry deserSed ris_i prope:.y tor which a� T�_/���� t is hereby dairtied:
`IY(We) owned ❑ Are buyug unda cantraa """" OR
�j Have a benefiaal intereg m Me entity that is liade bor Me property faxes on the propalty and tliat owns ihe property or is buying under a contract
. . . �. •> � �-.`. .. .:' CQN7FACT�REC6.ZDED•� : •...,�. � . ,. .. .
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If buy'og om m�bac� Fee Sirt�le wmefs reme ,.
(Lamrde/s d6ce whae mrtred is recaded Re�artl num6er Pe9e
. . . .. �... a � . �.'2 -�. ..PR�PERN�ESCR�PTION• . . � '" '.*i ....'. : - 1�_ .. :.Y ,..
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Cotnly TovralriP Tm�g disfrict (dy, fnrn.: fornsMp) ...
Pa�cel manbc Le4� desaiPiion b ihe praperty n queffion:
-� -� x� a- a- � a � � p�pary ❑ Mobib Fbnie (LC. 61.1-n
H a(ry paAion d 1ha residertlial struc4+e v the Imd nal n�ng wc (1) a�a Na1 inmedalely sirtamfffi Ih� �ae is used to Woduce iwoma. desa3a ihe �ae and portion
dihe poperty WizeA to pmEurn'r�mrtie.
a.- `1'`61 �
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; . ; assessoR use wur .� .
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Land not e�ng 7(one) aae imrt�ately
s�mo�mding 2siden4al impovertients.
Oiher lard
Td� land (I'nie 7 pAvs I'i/e �
Dwel6rg
Residential improvements ar Mrwaly
Aase.ssed Mobfle / AAanufac4aed Flort�e
Gsrage
Oiher improvernenLs
Td2� IRipfOVEff�CrAS (6/iB 1 fhrOrmh !Vne Al
T[ial value (!'vre 3 ppa 6ne n
I hereby cerfify the above is true, mretl. ard
m�late.
YaiMng aaian - Sigrauae N Plidrtu
: .dn.
2Q _ Pay 20 _
lesser af 12 Hrnriest�+A
Vahiation w 535.000
Siguhae of NN�ddor
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