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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
smee F«m u�3 �ts � am>
Reambed by Uie DePerOmmrt d Locel Gowrnmmn Finarice
INSTRUCTIONS: See ia�ertf sJda kr litp iecbuctiv�n,
1J
EORM� YEAR
`9� � ecio �.
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SEP 2 6 2006
��e) ��'' �" ����� v���� ce � lha�t �the 1st day of March, 20
I(We) occupied as our principal ce of residence the (ollowing described real prop or which a Homestea� Proper�f�l�'��cNCre�i i�sii�r��y daimed:
❑ I(We) owned ❑ Ne buying under coniract
' Have a benefidal interest in Ihe entlty that is liable for the property taxes on the pmperty and that owns the property or is buying under a contraU.
I( buying on conVad, Fee Simple owners name
whera conVact is reca0ed
�
7wmship
description
Tating
tl any poM1ion o/ the residential sWCWre w the IanA not exceeding one (1 � acre that immeAiatety
of the property ufiiized to produce ifrcome.
ihat stn7Ltvre is use0
Record num�er
-1
Page
i Hwno ZI.C. 67.7-7)
Cescnbe Me use and porUon
7 � 1�5�1:'>�?4'��Q'23i�cF—��� A�E� +.X- _ . p ��- . . . . _ . .. �_4 . . . y�.�r
ASSESSOR�USE ONLY�� � TRUE TAXz t k ASSESSED VALUE ,�.�HOMESTEAD^� ` k�NONAESIDENTIAL�'�¢p.��-`�.
,�.a� . ,�s+ys�� ;�r,�,-a.�,_;�,?s�,,,��.�,4,.t,~�� �Sw,�VALUE�,�a . �"ATt100%OFIT/� � VALUE�� .��'�.�VALUE a,;�r��-�:r
Land not exceeding 1(one) acre immediately s'4`',�,�"'z�r j.n'���`� k�
surrounding residential improvements. ��) �^'i-'� w ��=���x�"„�,� ;'-�'
,.. 3 Y .?�r t � �� f-� �
Other land fi� ¢�� � �
(z� ��;����
.�, .___.� � ��
Tdal land (line 1 plus line 2) (3�
'.�'«-xa �"'��x�°`�'-.t�= s�
Dwelling (4) -� -�+a i �� a�_��- .�,:
�Residentiel impovements ar MnuaOy ������'-'��°`��
M�ed AAobOe / ManufacEued Flmie Gara e ��t�� -s�.�'�t,�
9 (5) -' b �� . �,�y- � ��
� i ���� �y
Other impravements (6) �-� ��� i
_ ��?��'-,
TUaI improvemenLs (line 4 through line 6) (�)
TUaI value (Gne 3 plta line � (g�
1 hereby certify fhe above is We, corred, and Signature of Assessor . Date signed
complete. �
Verifyi� action - Sig�Wre oflwdimr Date signed