Mobile Home_Hart itLitil CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
it '-= CREDIT/STANDARD DEDUCTION y^�
Stale Form try Ih Departob)
Prescribed fry ere Deper-06) of Local Government Finance
I��1 JOtl
,_--- INSTRUCTIONS:See reverse side for filing instructions.
Q . . . - .. . . : rte- i CATIONSTA7EYENT:" .� : 2008
/
MAY i-;4
I(We) i, -i i— 1 ii 1__..f. certify that on the
I )occupied as ow principal place of resideiZniFigffiggitg described real property for which a Homestead Prop It :
I(We)owned ❑ Are buying under contract.
UN AUDITOR
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract
.i. a;•;'. r.',.`.`. •CONTRACT:RECORDED ;r e:t:;;;,..,t,i':- .'k':, y.. . :".,V1 .11,V
If buying on Simple owners •.... _
/,(/ /120,4.
Recorders office where cartad is recorded Record number Page•1t i/in •- / gyp .' PROPERTY DEscreuPJnoi : '; 1 ,4"_:'. . '•)1 t r x..,c./O . ' .y.: ,'It';w";•
Canty del l 66U N Tuwrrship T / /h
Legal description Is the property it oration:
C�`7( �-0Q 1 9/Ct • ❑Real property �I Mobile Home(LC.61.1-7)
If any portion of the residential structure or the lad net exceedug one(1)acre that in eciafely surrounds that structure is used to produce ikorte.describe the use and portion
•
r
1
c0 Li ;0Cd/146)&/C
,:
... . . .... . .... . ... . ,::'''PROPERTY OWNED BY,CLAIMANT IN'OTHER commas?,.i.)-r • • r4.r...`dr:*Ys t:,34.'.a.r°ttl:g
County Township County Township
I ,S wra ofot .
hereby certify the above statements are true.correct and complete. SY .th n 7 Z SC 13.( *L l t
/®teas(number and street dry:state.ZIP code) Y
`r Sin L3-- V_)0...uk., 1 ) . te--F 1A-is ci-- iutme 40-12-)Z.+A q )u7 b-
° ASSESSORUSE ONLY. t Ott. :r TRUETAX .AT OF LU t V �""- 3`p� eV "AIR
).... tier . . . ..S b :a t� . . r ,:net 'J.2 . t' ; he'.INr.- aL'r+rr.5d.}-�,
Land not exceeding 1 (one)acre immediately Z ru
i +dttru" xa k 3d+ q
surrounding residential improvements. (1) ya :w/ s° z ' ^Stiti
Other land a",Jhlic:?-1...'.
Trial land(line 1 plus fire 2) (3)
f xr` .0 e` r4,�.1
Dwelling (4) rt , r tT� ` vs V' dfi
Residential i npwements or Annually
Assessed Mohde f Manufactured Hone r vd�lr�'�` ?A $} 4-ax�1`a
Garage (5) ,. ...ii6o 5 iia$11iCtl?aTIM4
r
Other improvements (6) rr :
Total'improvements(fine 4 ttvancjh Ens 6) (7) . .
Total value (lire 3 pls Eno 7) (8)
I hereby certify the above is true,correct,and Signature of Assessor Date signed
complete.
Verifying action-Signature of Auditor Data signed
- `" '•� :SUWDARD CTIWI'AhLOMfANCE 'lth ..- ,.cea' %^ _e.0 r?;bS.i
U\\ Lesser of 12 Homestead {}'\�J s \I43 Valuation or 535.000 - �\ \j/ \
Signature of Auditor Data started