HomeMy WebLinkAboutHomestead_Miles (2) CLAIM FOR HOMESTEAD PROPERTY
CERTIFICATIO'.'STATEMENT
— -- —-c "ify that I(we)occupied as my(our)principal
lace of resi Y ce or am(are)buying wi described realpropertv u� c which a Homes
Deduction is hereby claimed on the date this-U.-P, is signed, (date of signature).
Am(are)buying under recorded contract.
Am (are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation.
Ej Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal residence trust.
El Am (are)the shareholder, partner, or member of the entity that owns the property.
CLAIMANT'S INFORMATION ��������°�=`
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\.'buying°"contract,Fee Simple°°^'°name
r S'office where contract.s resorded'- ----- ------ ^,, '-Pa go—
PROPERTY osoom~r/ow
m".* To°",^, Taxing district'm*town.^.="^~`
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n
^.".°",.~....^mobil,home,c"-,.,)
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,°v°^v-1-i"d-Pld...~�~,
PROPERTY OWNED ELSEWHERE o,CLAIMANT
»"~,County and Township /"claimant vacating"homestead?
u m� o w"
/ _---______ ------ ----'------' -----r , . . '------� --�-----' ---
| /^°�^,"°m*,^=°»o"°"m,°m°"u°°,,="",,ea,""v""°p/e'°, �
--�-- ------- �a���-� --�--�----- ^ "�^`( ^°""'��s����"�*"^~Z�~"�`
~^"°°~��.^^*"~�'and,�°.,~*State-Oil =~' _----____-_- �
30 \oJ ~ *5 ^f-^rc-ejvn JIJ -7 G7& NON-RESIDENTIAL
ASSESSOR USE ONLY � ASSESSED VALUE HOMESTEAD VALUE
VALUE
immediately Land����K��U�X������ X
� s"� __-
Other land (z`
--'
Total land(line'plus line n _ -pL_---
Residential improvements^, o°°""v (4)
\ annually�������"*/"/ Gar~~ (5)____�
Other improvements
Total improverner0ts(fine 4 through line 6) (7) ----- - ---'---� 2922-
Total value i/
'o/ "
--- "'p^"~°*�~^°~ /Date-^-'(month-'�'-'
I hereby certify the above is true,"""""..
and complete.
|��.�°"~'"�-�^^�~^' ---' G\�S�;�C*�@���AonDircR
STANDARD DEDUCTION ALLOWANCE
20 pa,m_ Lesser ofm%m the assessed value ofthe homestead~$4o,mm.
�vstandingm ,~�" m"sum",�°"m^*c^m"",��*«m/oo',,',z*a=°^�home ;
'`` m'� ' � ����� ,��m"�°""��w�^^°"°m°^u"m","°°"°u"s""'pm=^,~~'
��/°,���%"='^,/,/,/�./�%���^"�^=*°"/'»°�^^�^"�°",="""m",.�^^"°°_-�
_ DataSignature of ditor t
DISTRIBUTION: o.~.". =—°Audit- c^py ~",~,^'
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