Homestead_Watson°' CLAIM FOR HOMESTEAD PROPERTY TAX
> - � '� CREDIT/STANDARD DEDUCTION
State Fortn 5073 (R817-07)
•° � Prescribed 1he D
by epartmeM of Local Govemmen� Finance
INS7RUCTIONS: See reverse side /or fili�g instructions.
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AUG 0 6 2008
'M'e� �(�r��ti ���7—.u� ti oe�uryw�qgs"t5nl��r3�-i�e'bu��
1(We) occupied as our prindpal place of residence the following described real property tor which a Homestead Property Tac Credit is here y aim�ed
,� I(VJe) owned ❑ Are buying under mntraG
Have a benefiaal interest in the entity Uiat is liable for the property ta+�es on Me property and that owns the properry or is buying under a contracl.
If buyin9 on contraq, Fee Simple ovmers name
Recrnders of6ce where conUaci is recwded
Twvnship
number
It any portion of lhe residential strucWre w the land
of the propery utiGzed b produce inoome.
,i i�ii.,�.-rvi—
orre (1)
��!
dislnct
Is Ihe
lo:vn.
Recwd number � Page
� � Q�.�eal O���Y ❑ Mobile Home (1C &1.1-7)
9
surtound�re is usetl b pmduca inwrtre, deuribe ihe use and porfion
•�• . � : . •
County Tv.vnship County Tavnship
I hereby certify the above statemenls are true, correct and complete. Signature of daimanL� �!��
"ress (numberaM sUeeL ctity, stafe. and ZlPCOde)
'19��, S (OSv �w OW��u���c.r=/ �N %7�6�
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Land mt exceedirg 1(one) acre immediately ��, -� �
surrounding residential improvements. ��) , , �
Other land �2) . , ., .
TUaI land (line 7 plus line 2) �3)
Dwelling (4) y..1 .�� �
Residential imprwements wMnually '. � y�: �;,-:?'± �.��
AssessedAAObile/ManufacWredHome - . .'-�..��_ --
Garage �5� - _
Other improvements (6) : - _
Total improvements (line 4 through line 6) (7�
Tdal value (fine 3 phs Gne � (g�
I hereby certi(y the above is We, cortett, and Signatura ofAssessor Date signed (monN, tlay, year)
complete.
Veifying adion - SigraWra of fwtlitor Qate signed (monlh, day, yea�