Homestead_StClair (2)CLAIM FOR HOMESTEAD PROPERTI TAX
CREDIT/STANDARD DEDUCTION
Stete Fortn 5473 (R6 / 4-03)
PresaibeE by the Departrnent of loral Govemment Finance
INSTRUCTIONS: See �ererse side /or �lirg ins6vc6ons.
�
OpRM � YEAR _
H610� �
�
APR 4 2007
I(We) .:, . . ' L-. certify that ons tohe� 7fs;t d y of Ma�ch, 20_
�(VJe) occupied as our principal place f residence the following described real property for ich a Homestead Prop1erty T�c Cr�e�i�is �ierebQ�c�a7�i ec
i (We) owned ❑ Fve b�ying under wntract
Have a benefidal interest in the enGty that is liable for fhe property taxes on the property and Ihat owns the property or is buying under a wnVacl.
If buyirg on contrad, Fee Simple owners name
coniraq is recorde0
Counry
Parcel number
bn� �
Tamship
Legal Cesuiption
!he
fownship)
Record number � Page
� J1 l.+-1 [ J-LS �) � I2tRtal D operty Lj Mobil Ho o p C 67 1-7)
6
N any ponion of Ne resWenflal sWdure w Ue land not exceedmg one (1) aae that immetliatety wrrounds that swaure is used b produce income, describe the use antl portion
af Ihe property util¢eC to produce income.
a� - 1\- 3�- y bo - oc�y . b� a- oa.,l
4'� � l� � ��'�` ��"°'�"�°' �`'�i1� ��`� z v`TRUETAX � ASSESSED VALUE `"�HOMESTEAD�:. "` � �
g� � i�„ ASSESSOR�USE ONLY ?���' � q r rG r����N;RESIDENTIAI���
ass.3`�i`"�..�nz.<.eTd'Yl.�iS�"-�,2�'_...�"a,�„3.`�-'«� �i� �VAL:UE�ic..* �AT;100°hOF'TN��.v.�:VALUE��� �1�VALUE�F' �z
Land not exceeding 1(one) aae immediately r_ p-' �,���r.i�
surroundingresidentialimprovements. ��) '-�����fi�S.� a.� '�+
.,.�.� '27€ z, yr�T � :� x
:.=,,;3;�yi s�:. .
Other land (2) �`Y��-,-�,.,��i`,�
: �.�,:�s�.-�
Total land (line f plus line 2) (3)
; x� z ...7.t�Y, �e �� f _C
Dwelling (4) $�` {��#�S^ . �'��� p
�Residential improvements or Mnually -�'�"`��� - � S"�>��
Assessed Mobile / ManuFa�ured Home Gara e �- j-�` z' .. -: :��g�
9 (5) 3�'i-�*�*"� �. -' it, �l,'���i..
Yv�.. •�.i-3:� �'_"v_`�
}, .�<.
Otherimprovements (6) �i°`"��'�''� `�-�
x, r�`��
Talal improvements (line 4 thmugh line 6) (��
Total value (line 3 plus line n (8)
I hereby certify Ihe above is We, conecl, and Signature o(nssessor oate signed
complete.
VvifNng adion - Signature of PndiWr Date sgneA
20_Pay20_
Lc,ser of 1/2 Homestead
vaivauon w E35.000
Sig�uture of lwditor
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