Homestead_Tichenor (2).� ; CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
t � . Slaio Furm 5:13 (R6I403) � '
Prescribed by the DeOanmeni ot �ocal Govemm�m Fina��c-
INSTRUCTIONS: See rovcrsr, side (a Iiling Irslrur,linm;: : ..
„ FORM
HC10
YEAR
I(VJe) _�(Y� _�J/_IllD�/� /�/ �` 1/�r����N1 � certify that on the 7st day ot Mamh, 20_
I(We) o�cup�ed as our principal place o( residence Ihe following described real property for which a Homestead Proper��� �edlt i��by Gaimed:
❑ I(We) owned ❑ Are biiying under contracl � -
` Have a beneficial inferest in the entity that is liable for the property taxes on the property and that owns the propertjTpr�ja,puyir,}�y��r a contract.
I( buy'u�g on contraG. Fee Simplo owners name
RecordeYS olfica where wnUact is recordetl
Rewrd numher . Page
+-�� � ��4ASSESSOR'�USEONLY�3 "XU��� � � TRUETAXS ,� - �ASSESSED VALUE ''�MESTEAD� Yi--�.%{NON-RESIDENTIAL�'rr '-'
�%„���F.crr_.,: �"-+,s.�:?�vt_^�.r?.°r�.��.R..�'-thc�&V/LLUE..�r�'..� .sAT100°/aOF'TNy� t oVALUE.�s3�%•a�.'����'�-�VALUE''..�:_.''��rR�
Land nol exceeding 1(one) acre immediately i �'n��.y ��#w "� y�Yt =�? '? �i
surroundingresidentialimprovements. � ( � � .�y;;�;��.��-:�.."�,c?:,.%;,r���-�
Other land (p) x� "�'���1�;.`'��*'�'�
,zr . ;.,>�q :-�'
=.r_.r.:....:= �.�'
Rtal land (Gbe 7 plUS line 2) . �g)
,r is ;
Dwelling (4) ,� i f � � �'x r � =��
Residenlial impmvements or Mnually , �` f'� �'� �'`�� `° � 4
Pssessed Mobile! Manufacturad Home g � 5 ,�;..:-�'^�,�` ,�-4��s&� �r:sq':.
Gara e ( �
'.:2,-'�:r_�Y`Y.^`h �`s�"Cr'i�'�!'.`f:l(X°:^°..
_l _ � _
Other improvements . (6) �' � t T. °'r � "` �'
- r.:ir=��k'�
Tdal improvements (line 4 through line 6) (�)
al value (line 3 phs line n (g� �
1 hereby certify the above is W e, corred, and Signa[ure o1 Assessor Date signed
complete.
Verilying action - Signature of Fwditor Date signed