Homestead_Scott (4)�' CLAIM FOR HOMESTEAD PROPERTY TAX
r �-� : CREDIT/STANDARD DEDUCTION
1 �� 1 State Fam 5473 (R8/ 7-07)
Prescribed by �ha Dapartmarrt ot local Gavemment firiance
INS7RUCTIONS: See reverse side Por fifing insWc6ons.
FORM YEAR
C
eiir, 1 R 2008
, �y�
I(We) certiTy tha[ on,4fi� ��tch. 20
1(We) occupied as our prindpal place of residence the following descAbed real property for which a Homestead P�B�����'iq tkk�u�rned:
❑ I(We) owned ❑ Fve buying under contraU
rHave a benefidal interest in the entity ihat is liable for the property taxes on the property and that owns fhe property or is buying under a contrad.
If btrying on crnVacl, Fee Simple ownels name
Recortler's office where conUaa is recorded
Counry Twnship
fown, township)
Record number � Page
����C.t ��{DO�� 10�1 tlaSCn�Qn� A,W(J� 1���Ol IlsUiaMopertYm9uesP Pe Y � �
! t,�� �V ❑ rxeai ro n ❑ Mowie Home ic �i.�-
It any portion of the residential sVUClure or Ne land na ecceeding one (7 ) acre lhat�r�meAiately wrrounds �hat siruclure is used lo protluce inmrtre, descnbe Ihe use erb portbn
a( Ihe property utiGZed �n p�oduce income. �.�D��
•�• � � c • •
Couniy Tavnshi0 Counly Twvnship
1 hereby certity Ne above statemenis are true, correcl and complete. i9naW�p�pf Uaimant
�v
ress (numberarid sbeeC cily. sfaie. and ZlPCOde)
S � -�
._ , . . .. . .
,... '
Land not ezceeding t(one) aae immediatey ( � � K ;" " -
� n Y . .
surrounding residenlial improvements. - - .
OMer land �p� , ' �
Tdal Iand (line 1 plus line 2) (3�
ResidentialimprovementsorMnualy �e11i� (4� .t1`,;.-�,t<j>.:*;-::-..
Assessed Mobile / ManuFachired Hane �- •., z . � �. _
Garege (5� . . . _-
OMer improvements (6) .�-
Tdal imprwements (line 4 through line 6) (7�
Tctal value (line 3 pl�s line n �g�
I hereby certify fhe above i5 We, cOReU, and Signature ofPSSessor Date signed (mon7h, da� yee�
complete.
Vaifying adian - SignaWre oflwditw Daie signed (monlh, day, yea�
�T pay 20 _
Lesser of 72
Homestead Valuation
w
SynaWra oflwdifnr
45.000 tor 2007 pay 2008 42.000 for 2010 pay 207 7
44.000 for 2008 pay 2009 41.000 for 2011 pay 2012 $
43,000 for 2009 pay 2010 40.000 payable after 2012
Date ypped (niq/yr. dayy
Y• v r�
