HomeMy WebLinkAboutHomestead_BerlinCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
stsce Fam sa73 (RS � aa3)
Presuibed by Ne Departrnem of Local Govemment Finance
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MAY 3 2006
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� certify lhaCon�e �sf�ay o�f I�Aarch, �0_
I(VJe) occupied as our principal place re ence the following described reat pr rty for which a Homestead Property Tac Credit is hereby daimed:
�r (We) owned ❑ Are buying under contract
,� Have a benefidal interest in the entiry that is liable for the pmperty taxes on Ihe property and that owns the property or is buying under a wntract.
If buying on cont2d, Fee Simple owners name
Retorders ofica where conVad is recarded
Rewrd numDer � Page
Counry Tavnship Ta�ing distnct (ciry, mwn, fownship)
Parcel number Legal description Is the properry in Queslion:
^� al property ❑ Mabila Homo (I.C. 61.7-n
If any portion ol lhe residential sWGUre w the tantl nd exceeding ona (1) aae that immedialey surrounds that sW ure is used b produce income, describe Ne use and portbn
of the property uGlized to produce income.
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Counly Taxnship
I hereby certify the above statements are W e, coned and wmplele.
AdEress (�mbererM e�e(, ciry, stare, ZlPcade� , „ �
County . . ,. „
Twvnship
20 _ Pay 20 _
Lesser of 1l2 Homestead
vaWanon or E35.000
SignaWre of Auddor
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Date sig
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