HomeMy WebLinkAboutHomestead_DelongCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
smu Porm u7J (Ixs �+m)
Praxribed by Me Departmerrt d Loml Govamment Finaxe
INSTRUCTiONS: See �e�tiso alda Ibr �p hffiuc0'qy.
FORM YEAR
HC10
�(1Ne) �i�.�,J�x'Y ify at o 1s of March, 20
I(We) o pied as our principal place o esidence the following described real property for a omes�d rope�C dit i hereby daimed:
❑ 1(W owned ❑ Ne buying under wniract
' Have a benefidal interest in the entlty that is liable for the property taxes on the praperty and ihal owns� �o�r� osii.{wying under a contraU.
CUUO
11 buy'u�g on conVaq, Fee Simple owners name
Recorders olfice where conVact is recorded
.t:.a'.^, r-.�cp..�� `�.,��
-� _?�:�.5-:'.E2�. � �rr.���S�i
ca�y To,�,sn�P
�-1 l� b� l'1 I• oo I�
H any portion of Ne residenLal aWdure w Ihe
ot ihe propeM util¢e0 b produce i�ome.
exceeding one ry) acre that
GIBSON
Ta�ing disVict (ciry, fown, township)
m i Y AUDITOR
Record number Page
propeny in quulim:
❑ Real property ❑ Mobile Homo (/.C. 61.1-�
that sWCNre is used b produce inmme, desaiba Ne use anC portbn
;��uj^i� ��ASSESSOR`�US�EO�N�L�Y������� li'�TRUEITAX�� �ASSESSED�VALUE ;SHOMESTEAD'i �� H�tES1OENTI�A�L���
�s�yyt�.°,�.,�_:�y.���;r�e,= K.,,J��^�;�g.,� �wVALUEy'�t� ATt700% OF�"7TV� �,�.VALUE�+"�Si � �� ''.`�VALU�_,'�n„ ,y .
Land not exceeding 1(one) acre immediately =T'% '^ � ` ��?
�* t�'�.�.'��'.,.�°3#� � .
surrounding residentlal improvements. - ��� �� `�`�'xE :' � �t'�="$ .�'
� u . ti. 3a� .,...-dv...�.
Other land � ` -�`�"" �-� `�''
(Z) r ��r � r,�,�� -
Total land (line 1 plus line 2) (g�
' ..,='.'r.:��� .-'-� �-�
Dwelling (4) �.�i��`��'.`.-�r�%�.�z.z����
�Residential Improvemenb or MnuaOy
Msessad MobOe / MarwFacWred Hvne Garage 5 '�..� ��r -�� {"''�` -
>
( 1 � ���'���.��i
'.T �: y; ,';3�+i•
Other improvements ( ) :E`.��`6"'�
6 � �'. ��h�s..
Tdal improvements (line 4lhrough line 6) (��
Rtal value (line 3 plus line n (g�
I he�eby ceAi(y Ihe above is We, corred, and Signature of Asseuor Date signed
complete.
Verilying action - SignaWre of Auditor Date signed
20 _ Pay 20 _
Lesser d 12 Homestead
vauaUOn a f35.000
ollwditw
$
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