Homestead_Smith (8)�m.
CLAIM FOR HOMESTEAD PROPERTY TAX RM� YEAR
CREDIT/STANDARD DEDUCTION
` ' Stala Fwm 5473 (RS /7-07)
» Prescnbed by Iha Oepanmeiri M Larel Govemment Finance JUN 3 9
INSTRUCTIONS: See reverse side forfiling insWctions. � O L009
�
i lwe) • certS�at�Ql��i§i ..
h ����, �—
I(We) occupied as our principal place of residence the foilovring described real property tor which a Homestead Property Tac Gedil is hereby daimed:
(We) owned ❑ !ve buying under contrad
Have a benefidal interest in ihe entiry that is Iiabie fa Uie property taxes on the property and that owns the property or is buying under a contrad.
H Gryc�g om m�traq, Fee Simple wme(s reme
of6ce where oonUad is racwded
Counry
�� ��mbe.
Twmship
T" g di (cify, t m. tmvns6iD)
�s �he p erty in r
-�- ia � �'��
tt erry porUon of tha residential shw�ure a ihe land na exceedirg one (7 ) acre tha� imm�atey wrrounds U�at
of ihe property w6zatl m produce inWrne �% O�J �i/�--
G����J-�o - �D-00/, GSl�0o2,/
Record number
Mobile Fbme
Page
�-,.,-n
10 pmtluce 4�come, descnbe Ihe use and portion
.- .
. . .. . .
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Landnotex�ngt(orre)acreimmediatety �. t ?�,, ���. ^"-�'::�� -
surroundirgresidentialimprovemenis. (�� ;' ':;s.;^,�:i;;=.'":� . �
O�her land (2) ".�"-!� ,`,�..� �;ii.`��°;
;.':,.;:�,':. -
Tdal land (1'me 1 plus line 2) �3�
.---y�^ r� ; � � S . .
Residenfial imprwements or Mnually ��ing (4) . .�� �S ..�� �, �,� „ Y,. � 4,,,
P.55¢SSBd MOb11B / IABf1UFdtWfEd HOrt1E :r�+-1°„t*%�"�-^N e�U -; � Y ^t
G8f299 ($) •� t;�:✓ iGetk^s'�a
��IBf Iff1Pf0VCrtiCfILS �s� �.����'., :::Y.,�°Tl;?' :i
_ _ ��~
Tdal improvemenis (I'me 4 thruugh Gne 6) ���
Tcfal value (line 3 pfts Grre � �g�
I hefeby certiry Ne above is 6ve. corted. and sigreture ofl�ssessor Date s9ned (month. daY. rea�
complele.
Vait)'vg adion - Siprta4ue of Audlbr Date signed (monN, dsY. Y�)
� . - � � � � �
10 pay 20 _ qs.ppp for 2007 pay 2008 42.000 for 2010 pay 2011
Lesser of 12 qq�000 for 2008 pay 2009 41,000 for 2011 pay 2012
Homestead Valuation 5
w 43,000 for 2009 pay 2070 40,000 payable after 2012
SignaWreaflwdtor Dale signed (rna�lh.OaY•Y��i