HomeMy WebLinkAboutHomestead_Sears°' CLAIM FOR HOMESTEAD PROPERTY TAX
= t CREDIT/STANDARD DEDUCTION
` - SUte form Sa73 (R8 / 7-07)
w. � Prestribed by Ihe Department of local Govemment Finance
INS7RUCTIONS: See reverse side /or filing insWctions.
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oaupied as our prindpal place of
following
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�'`�`�y certify thal on the 7 sl day of March, 2b_
real property for which a Homestead Property Tac Credit is hereby daimed:
I(We) owned ❑ Are buying under contract
Have a 6eneficial interest in fhe entity that is IiaWe for the property taxes on the property and that owns the property or is buying under a contrad.
It buying on wnlrac� Fee Simple owners nama
Recorders office where cm�tract is recortled
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Caunry Twmslup
torvn, fa+mship)
Record number 1 Pape
Pa�cN number egal descnpU Is Ihe p(�perty in queslion:
�o-/et� /� D / �e - � ❑ Real prope ❑ Mohile Home (!C 6-f.7-�
If arry portion of the residential struclure or the land not e�cceeding one (1) aue Ihat immediately wrtounds that sVUCWre is used b produce inoome, tlescnbe Ure use arid portion
d Ihe property uliGzad �n produca inmme.
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Land not exceedin9 1(orre) aae immediatery _ -�
surtoundingresidentialimprovements. (�� . `s -
ONer land �Z� ' ` � '
Tdal land (line 7 plus line 2) (3�
Dwelling (4) � . � ''-+ y.
Residential improvements orMnually - - -
Assessed Mobile I ManuFactured Home
Garage �5� � .
Ofher improvements (6) � ' �
Tdal imprwements (line 4 through line 6) �7�
Tcfal value (line 3 plra line � (g�
I hereby certify fhe above is true, correU, and sigriawre oiwssessor Data si9ned (mmth, day, year)
complete. -
Veityirg adion - Signature of Audita �ata signed (mon7A, day, yea�
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_ pay 20 _ qs.ppp for 2007 pay 2008 42.000 for 2070 pay 2017
Lesser of 12 qq,ppp for 2008 pay 2009 41.000 for 2071 pay 2012
Homestead Valuation S
« 43.000 for 2009 pay 2070 40,000 payable after 2072
SignaWre olFwditw Dale signed (monfh, day, year)