HomeMy WebLinkAboutHomestead_ByersCLAIAA FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Stete Form 5/73 (R6I403)
Presaaed by tlro D�rhnent d Local GoMmnmenl Finance
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�M/e> Y�j,4LQ/KJ�}- // - J certirythaPl�r�Se�i' s't6`�%b�iG�i'cl9�9�
I(We) occupied as our principal place oi residence lh f Ilowing des bed real property (or which a Homestead Property 7ac Credit is hereby daimed:
❑ I(We) owned ❑ Fve buying under contract
, Have a benefitial interest in ihe entity that is liable for ihe property taxes on the property and that owns the property or is buying under a wntraU.
I( buying on conVact, Fee Simple awnefs name
conVaC is recorded
Tamship
p/�/ / " V /!// V [�
H any poAion of IAB residBnUal aW cNra w Me land not exceedin e(1) acre
ot ihe property utiGzed tn produce income.
� n� �/ i q, o �� 2 �,-, �,
��:'-�'�.,-".�x�r�� ��v�iyP�-�t`-�.�'�P,ROP.ERTY,OINNEO
County Tavnship
I hereby certi(y ihe above statemenls are W e, coned and complete.
(number aiM sfreef, ciry, sfafe,
Record number � Pa9e
Tacing
Ilsihepropertyin uesUon: '
� ���Real pmperty ❑ Mobile Homo (LC. 61.1-�
surrounds that s aure is used to produce income. describe Ue use and portion
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A I MANT, I N� OT H ER'C O U NTI ES,i
County
Signature ofda"unant
�i-� CR`� R
�� �' , � .Y� �,'i i'3G�"P 4=ss'. Ji.a�3�`p�"�a�.y+� "'c�- "z``;' . . - - . ''.
.r�'��j ��'IASSES50R USE ONL�Y ��"` �' „� � VALUE��3� ATtt 0% OFTTV = HOVAL.UEE�c� ���NO � qI,UE�'`i?�gi'Ss
�aa�r;�f`w`�r v-.,i ! y��PdST3"?`iv iT..,s -� �+s.�vx:i . -.i'a k'�, eZ. r .� 3.� , �.�5..: ✓��r.{u. - n..� � �_
Land not exceeding 1(one) aue immedialety `,��� �� ; x�' ��i"� n�
suvoundingresidentlalimprovements. (�� �p.'�fy-,��i,�'.,y'w�<�,:'=�+'r���,:
�v i9'^ T �b (.' ~ .
Other land (p� � �t�.�1}-�;.
,-�s�.. �:.'?v -
Tdal land (line 7 plus line 2) �g�
�r i"{ � §y '+}°�Y,c,�,=
Dwelling (4) � ��t����`y����
Residential ImprovemenLa or MnuaOy
Aea�d Mo60B / �Aerwfa�red Hame ���i ;,>'q-- >,_. � 3;�' t`i
Gare9e (5) a?°�.. � '�*�` �
.c`-c5�+',��d,��+7!:.4.•a.�--ak�'-S:saa���
�+�?�-�' � ��
Other impravemenis (6) � f _•,t�y
_,� ..�»
Total improvements (line 4 through line 6) (7)
� Tdal value (line 3 plus line � (g�
I hereby cer6fy the above is We, coved, and 5ignamre ofASSessor Date signed
complete. �
Veri(ying acCnm - Signature olAuditor Date sgned �
'�arY.,�-G." �.'�,..'-�i'`..�.�� ""T�:`�-���'#e.�'i,d?>�`''��t.uSTANDARU'.OEUUCTION`ALL'OWAlICE,. i�'��-�'s��.�:;;'`�� 'a.�'�!�i:�i�''?�,.��`�,;s�'�v�..�`
�'-., t s"f3. *sz.., . _ _ .
20 _ Pay 20 _
Lesserot 1r1 Homestead
vauanon a f35.000
5
Sgnature of Auddw ' Date signed