HomeMy WebLinkAboutHomestead_Trotterr; CLAIM FOR HOMESTEAD PROPERTY 7AX
� CREDIT/STANDARD DEDUCTION
t � State Form Ss73 (R614-03)
Prescn�ed by �he Department of Local Govemment Finano:
INSTRUCTIONS: See reversc side /oi /ilinq inshur.fious.
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FORM
HC10
YEAR
�:,-23.<,_:.8: i-.- > sat� � ., <t. .. '- � CERTIFI T10NSTA ENT? ' . ,- " Y- � . . . .
I (We) \ � Q� it.l ' .(a � . . � cer6fy that oA`tH2�ist�Eay �NM�. 20
I(We) occupi as our p apal place of residence the following described real property tor wh�Homestead Property T�c Credit is hereby daimed:
❑ I(We) owned ❑ Ne buying under wntract ,�
� Have a benefidal interest in the entity Nat is liable for ihe property taxes on the property and that owns the p�o��� ����pfract.
if buying om m�trad. Fee Simple ownefs name
Remrdels ofice whera coni2cl is recordetl
Tavnship
P;ra��/, rpber ` . , i / _ ,�Le9al
!/l/✓ / xT %` 7
It any portion ol the residenUal slrucWre or the WnE
of ihe property utilizetl to produte i(xome.
- �7�0�
RECORDED=
Retord number I Page
°:-.'=PROPERTYOESCRIPTION?.�� .='..• .-�=�zr�.,_.�.:,.__._.
Taing distnci (city, town. �ow
Is the O�operty in queslion:
R alproperty ❑ Mo6i1 Homo(/.C.6f.f-
one (1) acre Otat immediatety surtounds Ihal s ure i5 u5ed to proEUCe intome, desuibe Ufe use anE portion
� "'W7. ���Qd/
BY
Tavnship
I hereby certify the above statemenls are true, conect and complete.
(num6er and sfreef, city, sfate, ZlPcode)
G�� / Qo X a�l tJ -
CouNy
Twvnship
r� r��+7se�,2' ASSESSDRLSE ONLY :. _ ._ TRUETAX ASSESSED VALUE : HOMESTEAU � NON-RES�DENTIAL'�. �
:� . +.�r -� .� •. �� '� ' ' VALUE � AT 100°/a�OF.TN- : � VALUE . 're>i �VALUE�� "• ". �.
..!aar r�,., i. .:.. t.:.-a..—. . ._.... •_
Land not exceeding 1(one) acre immediately - - —�.-.
surrounding residenUal improvements. (�� - ' � - �
Otherland (Z)
Tolal land (line 7 plus line 2) �3)
Dwelling (4) - � ` ;...-'-• ' �. .� � �.� .
y t�:-` t �r x
Residen6el improvemenis or Mnually
Assessed Mobile I Manufacdrad Home Garege �5) I._ ..`�,� .;?: • r.,, '-'�. • -
Other improvements (6)
TUaI improvements (line 4 through /ine 6) (7� I
Tcial value (line 3 plus line n (8)
1 hereby certify the above is we, correct, and Si9nature of Assessor Date signetl
complete.
Verilying action - SignaWre ol Andilor Date signed
20 _ Pay 20 _
Lesser of 1/2 Homes:ead
va�uauon or 535.000
S
ALIOWANCE �
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