Homestead_Rispone116uying on conVad, Fea Simple ownefs name
whera canVad is recordeC
Counry
Tamship
fown,
Record number � Page
Parcel number Leg eicripypn� ^— ��� Is the propeO"Real propeny ❑ Mobile Hwno (I C 6f f-n
Do 5�0 �s/- � ;- N y
H any poAim ot Ihe residential sWCWre or the land not axceeding one (1 � arre Ihat immetliately wrtounds that sLUGUre is used b produce incwne, desttibe Ne use and portion
of Ihe OroPertY utilized W Droduce irimme.
/� . 9 6� �
-/� 04-/oo-crb.
Tavnship
I hereby certify the above statemenls are W e, conecl and complele.
(num6er arM sVeet, cify; sfafe, ZIP code)
i�p t."",.�'Y"x� u" � .�s - � g � r---�...�
3�� >ASSESSOR���US ONL�Y� � ���� �TRUETAX p ASSESSED VALUE ��HOMESTEAD�'= r :z"NON;RESIDENTIAL �
,���; . -��,yly,���--�.... � ' y�'^���VlLL.l1E��`3'?� "AT�100Y OF�TTV� `�^-�VALl1E� ���3 'VALUE�r' ��
�rs.ou:���.. �..�r�+
Land nol exceeding 1(one) acre immediatey �� �3�.��g.°^�..���m;,N� m
suvoundingresidentialimprovements. (�� � �,.r'��t„��r`���:s{
Other land (Z) Y`f,�, �i�.-� �� �Y
�� * ;a:
7da1 land (line 1 plus line 2) (3�
r r 1
Dwelling (4) �� ���������
Residential improvements or MnuaOy
Aasesxd Moh6e / ManufacNred Haro Gara e � � F�-� f z••°�`" ''�'s` 6�'
9 5 "�'S�`�uTM'�+ � :'�'�£`.:fi�����:
�,-�-..=�'�'�
Other improvements (8) , ,���
� 2K. �
Tdal improvements (line 4 through line 6) (�)
Tcial value (line 3 phs line n (g)
I hereby cerlify the above is W e, corred, and Signature otnsussor Date signed
complete.
Vuilyirg action - SignaNre otNidiWr Date signed
�. , %L't P"sc�s.a� ... �r P < . _ , . . i .- - . ._ +. re � k �: ' �s: -� ' ..y�v-�'
.�.�.-,�..,.r.� s .i�i"zc�7�*�"-,§A?*'"=at�.Kti.��rYSTANDARD:DEDUCTION`ALCDWANCE�,. ����4tk.,,.'y�<�uo�"��s-s.�;:*�?%�_�2. `;�.x�s��—.�`
� 20 _ Pay 20 _
Lesser d 1r2 Homestead
VaiueLOn or f35.000 $
Sgnature of Audha " Date signed