Homestead_SagersCLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
Stete Fartn 5473 (R6 / h03)
Presaibed by Ne Department of Local Govemment Financa
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��„R� YEAR
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JUN 0 g 2006
� �e) � � � cer�iryc�iaF��{h�T4�st�y�of�df�rch, 20_
I(VJe) occupied as our principal place of residence e follovring described real properry which a Homestead Property T�c Credit is hereby daimed:
'�-+(We) owned ❑ Are buying under contracl
, Have a benefidal interes� in ihe entity that is liable for ihe property taxes on Ihe property and Nat owns lhe property or is buying under a wnVact.
I( buying on conUad, Fee Simple ownefs name
Remrdefs ofice where coniracl is rewrCed
F_"�'%�n� T'I(�y i' �j''�+y�_-a; n" Y`.S:iaa! Y" -
'�'+v -�^...�F..."t.t'l.c-._C,a�R°-.t�'i..t�:�
County Tavnship
N �,�5 oG
ot ihe properry uL1
' � I gal ae -ptlan // AD o I Is ihe pro
�p 'N 1' , �
sWCWre w the land not axc �np one (7) aae Nat immediatey wrtounds that
ice inwme.
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RecarE number � Page
in question:
{�ea� property ❑ Mobila Homo (I.C. 6�1.f-7)
2ure is used b produce income, desttibe the use antl portlon
1' '4 �+jr�`' � `�"� -�`�'6''Y�''�c�-.�u'.��} d��ei e*1"TRUETAX���,k ASSESSED�VALUE�. �HOMESTEAD � N'RESIDEIJTL4L��'
.r.+ � FASSESSOR�USE ONLY.�,.�' 4+ r �, ar 3N� .,.- .. o ,a ,�• , � 1��-'��,�32� c,� `.�#�
-� �,r�;?:..'�-[s...�?.�;,a.Y"�..s.....,_.����s��VAI:UE�s-t AT100%OFyTTV��VALUE.�a',�:a a,,.�+,�kt.V/LLUE�w
�Land not exceeding 7(one) acre immediatety ^ i�2T j'� -'r�-�`��,?
surrounding residenGal improvements. (� � '�°' ��h��^��
Otherland (Z)
Tdal land (line 7 pl�s line 2) (3� l�
Dra���er NO...��•�•.......
Dwelling (4) �Y�£���
� S�y9 ��-��
R�aIl�m+pb�amM���w�Home CardNO.... � �--"' �'
.... ...... _�;? a
Garage (5� � I a �•� � � ' — _.. �
Other improvemenfs (6) fl�,�3'�
:
L-�:� .' i" 3�.� .. - -
Tolal improvements (line 4 fhrough line 6) (�)
TUaI value (line 3 phs line n (g�
I hereby Certi(y the above is We, corred, and Sgnamre otr+ssessor Date signed
complele.
Verityim� action - Sigriature oflwdiwr Date signed
-°r�,�r.`���",�1�'>��Rl�':ens•" ,���,l4�ir�.�',�s•ui��SSTANDARU:OEDUCTION%AL'COWANCE-,�'��.,'d.�z,`�,�',"�u�`.�!a'.x;n-*,�.�7�,�d�+N��: �:
_ 20 _ Pay 20 _
Lesser of 1/2 Homestead
vaivauon a E35.000 $
Signature of Auditw " Date signeC