HomeMy WebLinkAboutHomestead_McConnell•n ." CLAIM FOR HOMESTEAD P.ROPERTYTAX
CREDIT/STANDARD DEDUCTION
� Stata Fam 5473 (R6 / 4-03)
' Preaaibed by Ne Department of Local Govemment Finance
INSTRUCT10NSi See ieverse side /or (ling instructions.
FORM 1 � YEAR
HC10 �
��8) � wrU�a on ist day oi March, 20_
I(VJe) ocapiad es ur prindpal placa of residence ihe following described real prope for whi a Homestead Property Tmc Credit Is hereby daimed:
] I(We) owned ❑ Are buying under contract
1 Have a benefidal interest in the enlity that is lieble for Ne property taxas on the property and that owns Ne property or is buying under a conVad.
If buying on contrett, Fea Simple ownefs name
comrea
ToMnship
It any poNon al Ne residential strucNre w the Iand
ol Ne property ut�ized tp produce incoma.
Tmcing
one (7 ) aae Nat immediatety wrtounEs
Rewrd number
al proparry L
is usad to produce
Pege
i Homa (I.C. Sf.7-�
desaibe tha usa anA portion
� jT�`��'�'"`�� YY� �� � �-�TRUE TAX�'�`ia ASSESSED,VALUE HOMESTEAD''` a�.."�"'NON•RESIDENTIAL� ���
��� �ASSESSOR�USEONLY�'a`+�"_�F��� � ,r' . �
Yt.� [!v�:::`�--�r�„x"�Ft.c.�9?"+�+�=a�Fri�.:r3z ` �' _s VALUE�� , _AT.��j1D0%OFTSN .,-•FiVALUE '�*-�t.. oi' � ���:VALUE....{s�� _: �:
surtoundinXr�es�identlal�m �ro ements�iately (�� ������,��.�4��.� �w;k4i�
9 P :�cn,>._ ,�-���:� .r3y .�;.
zi .-:.�^
`�} ,
Otherland �Z� �- w� � �
.. � � : .- :':
Tdal land (line 1 dus line 2) (3)
Dwelling (4) �=�'' .� '_ a � .' a �r ,P:
Residenlial improvements orMnualty i,,,,.. �. � .�.,, � +e ,r,c �� ��.
Assessed MoWle I Manufadured Home �x ��+ 3!- t ,��. ;�-,�
Ga298 (5) - , � . r., p
fi:
`#.�'� .�c i.;..fa�:zo;: `:,�..�.
• : "i. :
O�qelimprovements (6) -�-=a. � �
4 y f.
Tatal improvements (line 4 through liire 67 �7�
Tacel value (line 3 plrs line � (g�
I hereby certify ihe above is We, correci, and � si9nawre of Assessor - Data sipned
complete. .
Verityinp ecUon - Slpnature of Auditw Data signed
20 _ Pay 20 _
Lesser ot 1/2 Homestead
Valuation or $35,000
3