Mobile Home_Walters CLAIM FOR HOMESTEAD PROPERTY TAX FORM
rts1.1 CREDIT/STANDARD DEDUCTION
State Form S473 (R7/5-06)
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Prescnbed by the Depetmeint of Local Govemrrmnt Finance
/ C IL)YEAR
INSTRUCTIONS:See reverse side for Ring instructions.
.;:'•. :!:.:','::' 2 :.r.li:.'.-..17.7"::7.1.1:,t .*: .'.-' C'. ':;,:; . ..-1- CERTIFICAIION STAIFJIIENT;.!,•Lsi..,7“). 1.1'..]:,(;) n_ _ “4' nThstisic70:,3,.:22U0dS,i.::fr,4,,iiiiT4W.,*:ft
. I(We) i C, Arr & Lh a cluia,,,,, March,20_
I(We)occupied as ow principal place of residence the following described real property for which a Hanesteo6Propoty Taare i cbt etidereby darned:
Id:SOWCOUNTY AUDITOR
j I(We)owned El Are buying under contract
Have a beneficial interest Si the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
.:1.;, , , -,' . ; -; .. . -., ' . : , ". I — ' • CONTRACT:RECORDED
It buying an axaract,Fee Simple armies name
Recriders race where contract is recalled Record number Page
i)thatry..........,„. . r'.. ; • -.." l,t, .l.' :71;'-' - PROPERTY OrcrFIIPTION '' ' I, -' "--.c''':"ti: ',.'''.1'''''If.;:?,'Y'r.‘:,-*1-1??,•-•:tic?);,,"11,7477
Township Taxing district(city,town,
Leg description Is the property in gueionrd :
Tag-003 sci -DO alzi Reel is OrePortYtodupOile Home KG.64.1-7)
If any portion of the residential*Lecture a the land not exceeding one(I)acre that immediately surrounds that strucbre u p
sed to biome,descnbe the use and portion
of the properly utilized to produce income.
I R 75 e cry...sys:2_,
.: . .....2,,z, _ , ,.....7, . .A.y... ,:::: ,,.•,:: .„. •PROPElirf OWNED BYCLAIMANT IN'OTHER COUPMESU.:- -. ' '7.;,: ‘:.t1.k•-at.:1.:Zi1:'::::::',;(?;',':f4:4134:
County Township County LI Q tjuitrilein
• of ciaimane VA66. • "-------
I hereby certify the above StateMentS ace true,correct and complete.
YAP
(number street.Sc data ZIP code)
_
1
.:i . . Y t ;":I'SASSESSORUSEa411..y711. ::.1 i.7(,' "Iii :; iituiiii,` ' , "Asse.siiip)aii* gikimthiiikp'i; sk•,;,,ziifrctijiiiiiiiiiiitkatit
‘:',..'it:i10 '.... .Y4-.YA--., P :fAt1MPFI11/4- ?•,.."4nYekY :;;--4::::: if?tg?4:1a%!:511tr4.tiegAgeacii;
Land not exceecfing 1 (one)acre irnmectiatehi r,TY,;SterPalaSlInjtiltili
surrotmding residential improvements. (1) t;..iatt.k.d.liggeiriiaggfai
Other hand (2) .-- .1 ,..,-,:k,,T iviy:.:
Total land(line 1 plus fine 2) (3)
:;':Jklr-,h11-1...?4RIM*;
Residential improvements a Dimling (4) a Annually 1.41!.4.51t.,glitii :
Assessed Mobile/Manufactured Horne '---4 0nmilkAt-s1-.:7-:40,
Garage (5)
•::,,,T;i• r,•`' ire:•
Other improvements (6) 4.;.i.-; •Pe:::.ti,",
Taal improvements(tine 4 through fine 6) (7)
Taal value (line 3 plus fine 7) (8)
I hereby certify the above is true,correct,and Signature of Assessor Date signed
complete.
Verifying action-Signature of Aurelia Date signed
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;.,"- • . ANDARD DEDUCTION ALLOWANCE .,..„c;-..-ti ?, •-....e."',•.:::;',:p;V:•c, „;f4..kl:cir‘Irlign.li-4
20 Pay 20
\
a r\\o
au Lesser of 1/2 Homestead
Valuation or$36,000 .
sirarin AO 1
Dat9r-0 7rCi)'