Homestead_Robinson� CLAIM FOR HOMESTEAD RROPERTY TAX
° CREDIT/STANDARD DEDUCTION
� Siate Form 5473 (R6 / 4-03)
' Proscribed by the Departrnent of Local
1( buying on cormsq, Fee Simple owners name
olfice wnere convaa
Tavnship
tawn. Iown5hi0)
Record numbar
�e�/� �.,� 1 �' �T I al d )a(ptjan . � � /i /�}5 Ne propeRy in Ouestion:
V U.1�Z���C�� V C! ►V FKC� 1 l�lX1X ❑ Real property ❑ Mobile Home (I C 67 7�
I( any portion of Me residantlal sWCWre or Me land � exceading one (1) aae that immediatety sunvuntls that sbuctura Is used lo produce income, dascribe Na usa and portion
o( Ne property udlized to produce income.
I,�?/ �'/-45�7ao -ca�. a 7 9- o�.�
z ��` �`�"'``F? "'�`"��;��*,- �y^,"� " � "TRUE�TAX<' K � ASSESSED�VALUE �HOMESTEAD �. �:` � NON=RESIDENTIAL
r,�i��`���_A�s�.•-s-,SE�O�RV2a'��s�'�=-=�e�rfz�,�'csr�'VALUE��y?"ji'AT100°hOF17V^kv+iVALUEi�:a<�?'�*' C'«�i.�i�VALUEn�rF.�-
Land not exceeding 1 (one) acre�immediately . � � �^ �a Y � �?ry •�
surroundingresidentiallmprovements. ��� #��r��'' g �''� y. t'�
Otherland (2� -�' ����'�c�4
.»„ � . • <�•:�....-v.
T[tal lartd (Ilne 1 plus line 2) (3�
g.. ,���
Dwelfing (d) _,is 5...��,�y���i.^$��3�'c
r �
Residen6al improvements or Mnualry �1,. 5��.��u?vt.. ���M3?r: .�
Pssessed Mobile I Manufactured Homa .;�x.����,m<¢ ,. � .��,>� ;..-,- � �;
Garege (5) � k �'�`rz <fe f x-: � , ...'.
��ya., h.c _.;?,4.:t.� �=e�rs s...i�.. ';
5 k 'J> Y
O�qer improvements (g) „'ti�,. ��:�; ..`�ri �'
= � x''=✓-
TUaI Improvements pine 4 through liire 6) ���
Taal value (line 3 phs llne � (g�
I hereby certi(y the above is Wa, cortect, and � Signawre of Assessor � Date signed
complete. � _
Veriying ettion - SignaWre of Auditw Date sipned
20 _ Pay 20 _
Lesser of 12 Homestead
Valuation or 535,000
$
Date sip�^ _ � ��
UJ