HomeMy WebLinkAboutHomestead_Ramsey...,,
., � CLAIM FOR HOMESTEAD PROPERTY TAX
- � CREDIT/STANDARD DEDUCTION
` � State Fwm 5473 (RS / 16-01)
Presrribed by Ihe Department of Local Govemmeni Finance
INSTRUCTIONS: See reverse side Ior filing insfructions.
FORM
HC10
� YEAR
�3
��e) `� /C� ertify lhat on vthe 1st da t��E/darch, 20
I(We) occupied as our principal place of residence the following described real property for which a estead Pro{�flac C{$di�Ykreby daimed:
❑ I(VJe) owned ❑!ve buying under contract 'n/
�liave a benefidal interest in ihe enfity that is liable for the pmperty taxes on the property and that owns t�roperty`orp��y�ndec�e�draG.
If buying om m�trad, Fee Simple ownefs name
conVad is recorded
County
rce number �
If any ponion ol the resitl
of the propery utilized W
�/__i�
Tavnship
dislrit� (nry, fown, fownship)
� W I\��e L�n 1 O�� � I I I Is ihe GmOe C
sWdura w Ne nd not e:ceeding ona (7) aae th/at imfqediately,�unounds that shu
ice income. / �!7 7 r � /
(D bJ � 1 Ci
o� •; y�� o�
Q_.��s_.,�-,�/_���_,��i�o�` �_I�t�
County
I hereby certify ihe above statements are W e, corred and complete.
sLeet, cit1; sfate, ZIP code)
of claimant
Record number � Page
6 �,.,-n
use and portbn
� �.,� Lc-i
w� ��
3/,�/a y
����`�'�`���"�`�'�� �'�� �"TRUETAX� ASSESSEDVALUE f�HOMESTEADi`y � NON-RESIDENTL4L
, Rt, ��'�ASSESSOR��.USEONLY ,�.s�� �--
az-'�'.a=��E�.-.v�-zx�r�%y,l}§S::'.�i'�+`�,�...,r..�-t���`,�,� �VALUEtrt .s: rATa700%�,�' .'�.� VALUE� '���.eT�u€�,'.�"-R�..VALUE azd3r� �
tand not exceeding 1(one) acre immediatety � �f-��`"� � ;'F._i
surtounding residential improvements. (� � ����'��.,�,y��r��r�` 3��
.g, ;,.;�- � .
Otherland �z) 3�-�� � �� I
-,-e�.
Tolal land (line 7 plus line 2) (3�
Dwelling (4) '�k����� ' R����
Residential improvements �� �``�'�'-
e
Garage (5) ac.'t-�' ��•'.:
��.. = f-• �,.a.�i��ti
} 3`�'`fic�^.T't
Other impravements (6) t��;����
' �..-.a�:_ x 'xs
Tdal improvements (line 4 fhrough line 6) (7)
Tdal value (Gne 3 phs line � (g)
I hereby certify the above is W e, wrred, and Synature o(PSSessor Da�e signed
complete.
Veritying action - Signature aflwtlimr Date signed
5.''?as`�'".�.'�.�_-"�, �i���-�a�:iju:.,�r;%��d�: ,.�iC,'�,r .�-m.",'�-,..-'�STANUARU�:DE�UCTION�ALL'OVAIAHCE� SwRr��'S3�`.�ur�sx �-v'��r,_`•-�.� F`Fy�'�''„�',r,�,i:.�::
20 _ Pay 20 _
Lesser of 1!2 Homestead �
Valuation or $6,000 �
SynaWreoflwddw Datesgned !1
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