Homestead_Anslinger (7)CLAIM FOR HOMESTEAD PROPERTY TAX � YEAR
i_ � STANDARD / SUPPLEMENTAL DEDUCTION FORM
S:a:e Form sa�a (a15 i su) HC70
���' Prewi �Lyc`.e0eparmer.Idl.ocalGv.emr.cMFVUxe '''777����
LVSTRUCTIQVS: See reverse siCe (o�fJilg inshuciiuns ��� ��
lJO7E: Ielephme, Soaal Secunry, tlrive/s 6rense, sfa.e iden'u.5cat'on and;ederal identlficatbn numbers ara oonfiden'✓al u 1 E f-7 37. ,
I (We) � "� (we) occupie��c�y(p��rjPal
place of resitlence or am (are) buyin9 the foll g des �bed real property under contraa for which a Homestead��amf f b3d
Deduction is hereby Gaimed on the tlate this applicatlon is signed, (date olsignature). I(VJe):
❑ O.vn. ❑ Am (are) buying under recorEed convact. _ / /[ __ •�
❑ Am (are) entitled to occupy as a fenanUStwkholder of a coo0erative housing wrporatioa )JO�PMC�jQ((,(�
❑ Have a beneficial interest in the Wst or ihe right ro occupy Ne property under the terms of a qu�.n.l���'irial���c� tf�l�
❑ Am (are) [he shareholder, partner, or member of the entity ihat owns the property.
�
Remr.] r.ur.[c Pape
P� �„e�, ��v,� x�r�� 35 -3 � i� n. ma �c�m � c�e� �,:
?r Sw � P r,� �� CI ❑ fteal propeM ❑/+.��N assessea madY horte IIC 6t l-n
11 any pofm ol Ne resiEen•.ial s'.�ucure a Ne IanC not exmMVq w�e (1) arre Cat immeCia:ey w�untls Uut cVUdure ia usetl to peoauQ vmne, EesaiEe Vro use aM pation
ot me c�xM �'daea m a�uce wnme.
a�-�g-3s-3oo- ao�,.��Y_o�.v
Si�u;ure ol Winam
I hereby certify the above statements are We, cortect, and wmple;e. /�'iwu r l '
V� �C 1
� noa2ss m m�raa (��mee.e�e zreac c�r, sa;e. e�a nvcoeel naa2sa ot.ara:eo M
20 � 1 =�+ I e� s�� �, �+,�.,Ltr�4 i�y7C . y
OLxrWnE
Total Wntl (line f plus line 3)
Residenilal improv¢menis or
Annually Asxuetl Mobila I
M1Lnufach�ratl Home
Other improvements
Todl improvemenis (line < tA
Dwelling I (a)
Ganga I (5)
line 6j
Todl value (line 3 plls line �
I hereby certify the above Is We, correc4
antl complere.
�eJyvg aaiwi - Sgwvre ot/wa.:or
(7)
(8)
Sgna:ure ctAssessm
Is da"urant vacaong a twmes:eatl?
❑ Yes Q No
20 _ pay 20 _ Lessero( 60% of Ne assesseC value of Ne homes:ead or 545,000
Abhrithstanding any otherprovision, Na um ol Ne deducWns pmvltled in IC 6f.1-f 2 fo e mobile /rome 5
Na! k not assessetl as 2alpmperty or to a manulaIXUraC home lhat is rwf assesseC as raal property may
nof erceetl one-hatl (f2) o(the assessed value o11he mo0de home ormanufacfuretl home.
;5nayee y quC•w Dr,e v9rcE (mmn. Eal'. HM
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