HomeMy WebLinkAboutHomestead_Dill crit CLAIM FOR HOMESTEAD PROPERTY TAX Fob YEAR
t .,,;. STANDARD/SUPPLEMENTAL DEDUCTION
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INSTRUCTIONS:See/eserse title for6/rug iusblurhora .��
NOTE Tafephae,Soda/Seurftx drivers/cense,stabs identircabon and federalilerID3cabn numbers are ren5t under SC 6-1.1-12-37.
• I(We) 7//S ! 1 • Certify that I(we)oompi:Ops my(our) .
place of residence or am(are)buying the following described real properly under contract for which a Homestead 1ty 1-.P. - •-reit .
�Dedduction is hereby daimed m the date this application is signed, (data o(slgnafu ry): �O
(b,Own ❑ Am(are)buying under recorded contract. �'OG v-
41,-. O
/❑ Am(are) entitled to oc ipy as a tenant-stockholder of a cooperative housing corporation.
❑ Have a baleful interest in the trust a the right to occupy the property under the terms of a qualified personal residence .. !�
❑ Am(are)the shareholder, partner,or member of the entity that on the property. - '9&
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berry pc fl pee resider:tat saudtse or the bad net eaeetp one(1)ear Out bm ethaely- ... Ist ..�..� Gs^ctetie ire atl pa on
al the s�FtjL cubed m Dances inmost
i ra
011‘.-011‘.- ••
� /7 O la- Od/ 0- - ate
:71.7 - -. . . ,PROPERTY OVIVED ELSEwHEREBY.CLAIMANT ' e r ..;—..7"7-..:17--...-
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State.Cash.and To.nshp Is claimant vacating a homestead?
❑ Yes ❑ No
Sombre of dessert -
I hereby certify the above slatanans are true,curet!.and complete. X /�,
Adders a mnad(number and.meof rsy,nae,and ZIP ado) • X of rated haneseng rimy(number aat tbeeb ply,side,and ZIP cos)
S�'3t" f Ca V- ow=iJ 6 s` zh
ASSESSOR USE ONLY ' :_ ASSESSED VALUE p, _HOMESTEAD VALUE;-.I /O�'ESIDENTIAL
Land not exceeding one(1)acre Immediately h = i E' -:
surrounding residential improvements (1) `' t S•- t) ;•.w
] ---- K -i
Other lard (2) -:=r}_ ; ;-S)__ =„
Total land(fine I plus line 2) (3)
Residential hnprovementa or Dwelling (4) L r ,V ys.y
annually assessed mobile/
"s fi t"manufactured home Garage (5) ` mauve-ir
Other improvements (6) !:r; P17 r n,
Total improvements(Ibre 4 through This a) (7)
Total value (floe 3 plus lure 7) (a)
I hereby certify the above(s true,correct,
Signature SAssess( Date stoned(neon,my,yen)
and complete.
Waft!don-Srirure dk tat Oate signed(aria,dry,yea)
.. -�;--C: _ - STANDARODEDUCTIONALLOV/ANCE. - ,'' � TTY`fl'..--.-7-7.'777.7--
20_pay 20 Lasser of 60%of the assessed value of the homestead or$45.000.
NabsifstandI g any other invasion,die sum of the deductions praWhdin IC 6-1.1-12 to a mobile home S
that is not assessed as real properly or to a manufactured factured home that is not assessed as mat owed)*may
rot exceed one-ha/OM of the assessed value of the mobile home ormamdarhued home.
Slpmn eArdacr Oar dgted(more*day year)
a51fa181/RON:Original-Cony Amigos,191e-Sucoed Copy-honeye'
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