Homestead_Copper (3)"' CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
` Slate Fortn 5673 (R8 ! 7-07)
,. � Prescribed by Ihe DepartmeM of Lazl Gavemment Finarrce
INSIRUCTIONS: See reverse side !o� fiiing instivctions.
� FORM YEAR
� to
APR 1 R �nno
I(We) (J� L L L� certify th�o�i�e ts`Y March. 20
I(We) occ ied as our rindpal place of residence tli f owing described real property for which a Homest6�6R�0pERSQk7t�R�' ��� daimed:
�1 (We owned ❑ Are buying under contraG
'i Have a benefidal interest in ihe entiry that is IiaWe for tlie property taues on the property and that owns the property or is buying under a contrad.
N buying on cmUacl, Fee Simple ownels reme
RecaCefa office where coniraa is recwtled
Counry , Q n Tamship
Record numbar � Page
Parcel number al descn lion Is Ihe property m queslion:
ab-i9 �Ss�3o'Y-000 . �-o�lo ��� � M�bFw�c���-,.,-n
tt arry paUon of ihe resideinial sVUCture w tl�a WrM nd exceedirg one (t ) xre Ihat imm�ately wrtounds tlmf siructura is used in produce Income, descnba Ihe use aM porlion
af Ihe property uliGZed b produce inmme.
�_ � ■ • .� • �
�i'. •
Land nol ex�rg 1(one) ave imnediatety _ _ "-
�� -
surrounding residential improvements. �
Other land �Z� - . _
7dal Wrd (line 7 plus line 2) �3�
Dwelli t :.�. r � '
Residential improvements wMnually � (4) � { �"r, _�.. ,...r . .:: .'� _�:.�_;-.
Assessed Mobile / ManufxWred Home -, '� ., -; � . ' r .
Gara9e (5) p r+..?,:_. �
:+..' -
�:i'._;s>�::,;:.` :_'
Ofher improvements (6)
Tdal improvements (line 4 through line 6) �7)
Tofal velue (line 3 plta Gne � �g�
I hereby certi(y the above is We, corted, aM SignaWre of Pssessor Dale signed (mca�N, tlay. yea�
complete.
VeiNl^8 atlion - Sfpnature otAudltw �ate signed (mmth, day. yea� �
!! pay 20 _
Lesser W 12
Homestead Valuation
a
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 Tor 2008 pay 2009 41,000 for 2011 pay 2012 $
43,000 for 2009 pay 2010 40,000 payabte after 2072
tlay,