HomeMy WebLinkAboutHomestead_Foster (4)CLAIM FOR HOMESTEAD PROPERTYTAX
CREDIT/STANDARD DEDUCTION
Stete Farm 5473 (R6 / 4-03)
Prescribed by Ne Departrnent of Local Govemment Finance
INSTRUCTIONS: See raverse side /or filing instructions.
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FORM � YEAR
HC10 � �
I(We) � - ' _ � certify tM3t tln the Ysf�la�i of March, 20
I(We) occ ied a ur principal pI�el7Esidence the (ollowing de 'bed real property for which a Homestead Property Tac Credit is hereby daimed:
❑ I(VJe) owned ❑ Ar ng under wntract �/fG� ��
, Have a beneficial interest in lhe en6ty that is liable for the property taxes on Ihe property and Ihal own�tl�s��yµ7t�yq{dpii�Re conVact.
I( buyinq om m�uaq. Fee Simple owners name
whare conVacl is recorded
County
Parcel number
Tamship
_ �
any portion ot the residential sWqure w Ue land not exceedin one (1) aae
f tha proPerry ulilized to produce iMOme.
a�-i9-/9- /c�l-boo.�.3�-o a-,6
Counly
Twvnship
I hereby ceAi(y ihe above statements are We, corred and wmplele.
(numberarM street, ciry, sfate, ZlPCOOe)
Land not exceeding 1(one) aae immediately
surtounding residential improvements.
Other land
TUaI land (line 7 plus line 2)
�Residential improvements or Mnually
l�ssessed Mobile / ManufaUUred Home
Other improvements
Dwelling
Garage
Tdal improvements (line 4 through line 6)
Tcial vatue (line 3 pl�s line n
I hereby certify �he above is We, coned, and
complete.
Verilying action - Signature otAuditor
(�)
iz)
(3)
(4)
(5)
(6)
(�)
(8)
Signature o( Assessar
Record number
(ciry, rovrj' township)
Page
I Is Ue Oroperty in question:
% ❑ Real property ❑ Mobile Homo (/.Q bf.f-7)
at�y wrtounds that sWUUre is useA b produce income, tlesaibe Ne use and portion
Pi N��I9-3-io. ,/7 ,gL
County
To.vnship
Date signed
Date signed
�4��=:`��'��:'A'T�:��.,:��'"�z,�niSTANDARD'.DEDUCTIONALCOWANCE �Y"�-�:�+a„�e,?:��,,,`.—°`�.,•�''iy���;�t�`5��^`�3a4.,f-'-,�.K
20 _ Pay 20 _ .
lesser W 1/2 Homestead
vaivanon w 535.00p S
SignaWreofAuditor � Datesigned