Mobile Home_Linxwiler L ' - -ti
'f` ", CLAIM FOR HOMESTEAD PROPERTY TAX ' ° YEAR
�� CREDIT/STANDARD DEDUCTION �� HC10
\ j� State Form 5473 (R7/5-06) : I : ::8
Prescribed by the Department of Loral Govenvnent Finance
__ AISTRUCTIONS:See reverse skis for filing instructions. U '4
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I(We) if et / • certify that on the 1st day of March.20_
I(We)ocaipied as ow principal place of residence the following desamed real property for which a Homestead Property Tac Credt is here daimed:
v I(We)owned ❑ Are buying under contract
Have a beneficial Serest in the entity that is liable for the property taxes on the property and that wens the property or is buying under a contract
It buying on contract Fee Simple owners name
Rtmrders office where contract is retarded Record number Page
..•, -PROPERTY DESCRIPTION': ,24,''''.:. 1c.'r' %'f i✓`.J
Canty Tawrafup Taxing district(dy. awnship) '. .'
Parcel number - Legal description Ls the property is question:
( ❑Real papacy Mehik Fbnie(LC.61.1-7)
d jny portion of the residential structure a ere land not exceeding one 0)acre that inmmdately surrounds that atuctwa is used to income,describe the nee and portion
d`dEa properly Waxed to podce income.
yX7- oof ;47 -ov
.' . ::; PrmaEsnY ovn4EO sr cLAmANT d"O1TIet couNTiES, , 11, 'r:, r".' 72:q
County Township County Township
I hereby certify the above statements we true,correct and complete. 1e1 rn�(I KL 1' ,�
'�� (n unbar end street th. te.ZIP cede) I V ' 1 J(�/ l
W' J4 F. CRNIFF CI '
S}40. TRUE TAX . ASSESSED.VALUE ` t1O flAD" ' ` ;,NONR£SNENTIAL t� g,
':ASSESSOR 115E ONLY p =AT 100%OF 11 "..VALUE �;' VALUE?'t- £' t'"?t
�mr ..... ... VALUE` . � . .... -.,.v .s` .ri,.3is , �', r..�.
Land not exceeding 1 (one)acre irmre di a1Py t y'ti . ! a 'e n y ;
(1) .Y. �,tit.;,4ViiX4it ti,SaamAYg residential improvements.
Other land (2) 4 i. .n i.t'�s :o•:y,
Trial land(lyre 1 plus fare 2) (3) •
Dwelt g (4) \r y ("21:.t:1,!.ra t 4 i' r< rt\,l stz37V
Residential improvements or Annually
Assessed Mande/Manufactured Home N . ., ;t1,Vi .
Garage (5) k h x� ` �% r4fl % ,
.. 1,c6: 1 •
Other improvements (6)
Total improvements(fore 4 through fine 6) (7)
Total value (line 3 Ow fine 7) (8)
I hereby certify the above is true,cared,and Signature of Air Data signed
complete.
- Verifying anion-Signature of Auditor Data sicned
STANDARD DEDUCTION ALLOWANCE .,. ., ;2." '^ :`` t:.1.t SVg.kCakea
20 Pay 20
Lesser
\\\ Valuation or$35,000 \ \.) 4\\ 11■',0
Signature of A,dta Date signed