Homestead_Thaxton -it-- CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
��a. STANDARD/SUPPLEMENTAL DEDUCTION FORM
Slab Faun S473(R 1711-16) MCI , y
aesmme by the De{eime to tnm Govranas France r.
INSTRUC17ONS See reverse side for Ong instructions.
NOTE Tebsphone,Social Seaufy,miters fcense,state won and federaliferdifrca5an numbers we contt,Ual under lC 6-1.1-12-37.
t( ) O P . l. • costly that I(we)occupied as my( )principal
place of residence or am(am)buying the fo&ioing destnbed real property under contract for which a Homestead Property Tax Standard
����D/eduction is hereby claimed on the date this application is signed, (date of signature). I(We):
,Y$( Own ❑ Am(are)buying ender recorded contract
g(are)entitled to oosnpy as a tenantstockholder of a cooperative housing corporati
on..
❑ Have a beneficial interest in the bust Or the right to occupy the property under the terms of a qualified personal residence bust
❑ Am(are)the shareholder, partner,or member of the entity that owns the property.
Nan a daaa t(bed nano) • •
Smut
Sucre Securer a ey renter chets spare(batfree opts) Civets ins r I I .. Mk
Sucre (last Eve Mats) lsrBq Sum
(Acpaaae Orly s-3 •--• . I fir.'.sternly sober)
•e
If twig m cheat,Fee Woe meters mane MAY 2019
Remhfs cede where comaet is recorded Read number Page
I'(r' Sel...VP'
Carry Taxmap Tang disv- (roc treys Wens*)
01)--Cla A File , ' •
-
_Parcel Its to Pronely in et
❑Real ptwMy ❑Avamay assessed cookie tune(IC 61.14)
e any mean a the reaiieraal structure a the land not exceeding cos(1)acme-at inmebmy stansds that structure is used to pn:due income,donne to me and pram
a Ore raonrb mired b puttee Mon.
Z6-1S -2-ttt - Z0z -goo 0 6 6 (4 -0 26.
- -, �.�- '. - PROPERTYOVINED ELSESVHERE BY CLAINANi _.. .. ". ,_ �s '
Sate.Camy.and Terms* .Is dalmaa a homestead?
0 Yes No '
I hereby certify the above sffiemete ale true,correct,are complete. , de �/� 7
Ahem a mat(number-ends/met cite.sets,and ZIP cede) a / bjC
reacted homestead,tang(nrnderand sever,-. .sae,and Z/Pdab)
06 4_.—s S •
ASSESSOR USE ONLY ASSESSED VALUE 'a HOI.ESTE D VALUE 2 0 1_RESIDENTIAL
e: _ m >I a s:l_.r
Land not
ing one
•
surrounding re�sideential biprovements ImmediatelyMacm (I) � --�'_- __.
Other land
Total land(line I plus line a (3)
r _ .T .y 77.. -�. 'nta improvements or Dwelling (4) 9.X4 ,- - _ -,-E-L }
annually assessed
mobile I
manufactured home Garage (S) - _ .kV ^ ...- ,r_,Sri:
Other improvements (6) N 1 -: ,..-y *+. _ y
Total Improvements(line 4 through fine 6) (7)
Total value (line 3 plus line 7) (6)
I hereby artily the above is true.cortect, Spas of Assessor cam speed(naxn,deg yea)
and complete.
Vent'g tsar,.Siguan of Audi" Dam span tuna dey.yeah
.. Y' .'i.'' r 7 STANDARD DEDUCTION ALLOVlANCE, �', . . - .
20 pay Lassa a r.. the assessed virtue the
e homestead y100.
Nolxthstanm•. . i MM.deductions Provided in . a mobile/lame $
thatIsnotass •s real property' • manutacn home Mari assessed as alpropaM may
not exceed• 121 drthe .. :., dubs home mamdaceaed
. .aAN£..♦ _ (- //\//`��J,i11 DateS'''r1`If^11''Oda 11Y[�.1(
.- - ..ceded Auddr,FaaSbasdr'nony'-Tayala
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