Homestead_Voegell�
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDR/STANDARD DEDUCTION
sm� r� s�r.� �n i saa�
PieaviteA by Ihe Depatrnant of Laral Gwermert Faanae
INSTRUCTIONS: See reverss side !ar fiiing
.._ . .__.. .. :�r:�. � ... , r� � .
FORM �
Hc�o
FIL,ED
I(We) / lL G'CJ U' certify ihat on Me t si day of Ma�h, 20_
I(We) oar�pied as av PrmdPal plaoe of rrside�ce tl�e foAowirg d real properly for whidi a Homestead Prop�c� �bereW daimed:
��(We) owned ❑ Pre bu�mg unda mntrafY /3A(%1�
Have a benefidal'viteiest ui the entiy Nat is liade tor the propetty lanes m tlie popaty and 9�at awns Ihe G�property or 1s�bu� under�aT�tract
?5�:�:a't: �'r..�: :�
n buy"�g on mrtracl, Fee Sinyie ww�ers �arre
�+b
Faroel na�mer
,. �
Tuyrahip
I Recard number I Pege
I
��f.;�- rc �� ,.,..� 6 hfr��.�?t'�:t
" (dy, n. township)
lm
Is Me in a�s0on.
I:t"'I
If arry pMion d the r�idmdial str�ae n MalaM nal m¢ee6ng one (1) ane Mal inmeQaldy wrtm� tl�
dU�e paqarty u6f�d b produ:e uimne.
o3G /���.�ao -aao. �3,a-d a/
Mabik Fioma (LC. 61.1-�
uaed lo produce i�awne. desc�be iha �ae and porlion
�� �• ,� �r� S' * TRIIETAX � t0.SSES5ED VALUE F�STEAD . '} 7MON�E.SIDEJIiIAL�'��°'t�.¢'
,!"v,..-r '0.SSESSOR USE ONLY ,� �- . 4^� zi, 2 VALUE;r, . 'AT 700%,OF if V � ' yVALUE � � f, '. � 1,t�3.s�i.�'�VAU7E.y,-aa., ak,`�;,j..,?:
Land rat e�ee6ng 1(me) aae imr�edaffily ' ��zt�� �`�� �'� �!�' 3�R�f'f��j
simWaid'rg residErttial improvfrt�enl4. ��� ."v n.'.�.,�,>Jnaj.', ..�.TaS4r."tv�,'�r:"� a�:
. .._ a.; . .� .
Other lard p .>. .. . �. 't -�,� <�:,i
i ) ..... ,.:�•�1'�.I�pd;`.rt„
Td� land (!'are 1 phrs �e 2) �g)
' , ��5:r "� J<4u°M1�'`.
Residential'vnprvveucnlsorMrwally ���9 i4) 'vv,�.�.� ;��a�iy.. ;»�kN,..���5xt
Aseaed Mobde / Almw�.athied Name : � � as + .,r : � s � �.n �:.,r��'�
��e (5� � c��f�'t±..-z�e. "� � y�}. Nj<,� a'f,, � .
!' r
Otfter impwmient5 (6) }' - _
T�al vnpmvemerAS (fire I Wot� Bne 6) �7�
rital value pme 9 p�s 6ne n (g)
I hereby oertiy the above e W e, cartecl and Siarr�ae Mwzsassa Dam s"g�ed
amplete.
vairyirg aeim - si}p�ame aFp�6t� mte si�ied
. ' :.x � � ��..STIWDARD�DEDUCTION'ALCOWANCE ,;�r.•.r •.� ��� .,a Cry},i�z-�_4a`��. s� i::'S�.`;"ti'7�,:�.yt�
20 _ Pay 20 _
� Lesser of 12 Hort�estead
Vah�afian w f3.5,000 S
gi�6ue ot N�i1u � Date sp�d