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HomeMy WebLinkAboutHomestead_Leible�LAIM FOR HOMESTEAD PROPERTY TAX CREDR/STANDARD DEDUCTiON s� ro� ssrs �a� i sou� P�awbed by tlie DepmtrrierA of Loml Gorermad Fcmioe INSTRUCTIONS: See ieverse side !w fil'mg instnxtions. . . . . a;.�. �: %_'_ . ..... A�— YEAR _ iCt� o�•°± F: .� �l. � % v fU�l� i �v%e) �'Bl�tb'fi+r�a iss:mr.;°�Op `�'• �o— I(We) ooaipied as ow prmdpal resider�ce ihe foAowirg descrbed real properly fa whirh a Hamestead Property Tmc Credtt is heieby dairt�ed: �I(We) owr�ed ❑ Me buyug unda contrad Have a benefidal mtere9 m the entity that is liade kx Me poperty taes m Ihe poperiy and Nat owns ihe property or is Wyv�g under a contracl _�.. .,.. .t ..•� �. � . . 7�. � �,. . � _.. .. -. �..., ,. � __.... « . :.. CO!lfRACT:RECORDmr°," � , � ". Y � r � ; atz ' 'f`-�'' au ,�,. _.4's�. � !r_ < . � _ :� :` rc Wy"rg m m�tracl. Fea Sirtple wirera rema- - F�mdefs at6m rhae arOrati is iecortletl Ramrd number Pege ; il` ;N� �y� _ TOM6�OP � -/9 -/��0%00�• l �A-0ab O�' tt mry parUOn of Ihe rgideNial �re a Ihe Imd nol mmeedirg ona (1) acre tlml d ihe PWeM ��d b praduce uxnne. di9riC Me n ques4on: _ �eal poparry ❑ Mohib Fiorte (LG 61.f-� � � tl�at ffiu�rira is uaetl b pmtlice nmme. dmaLa IM ine and po6on . _ . . y�=1 �:',: T%lETA7C ASSESSFD VALUE FiOC�STEAD v vxNONREStOHn1AL �;' 'f,�y .s.'i.: . a ,.;:.ASSESSOR USE ONLY : �' . � ��� '`i V/iL.UE; � �. +AT 1009L OF�TTV t . y;VALUE ��.p-:� F ? #;-.�,"3,+,t .�: VALUE M1: ?,�"t`s`x`�t-hy Lend not esc� 1 OnB 0a¢ i �+ „a t-� ` X��'r �,PX,� ; �9 ( 1 �M S�dfOwld'ufg rC3idential imp�v�tt�ent4. (�) �v.i �� �:^ ,� �SA��nl3%?�'���;�F ni , ly,;.j. Otl�erlard . -, �J'. �'X� 2 ,ic ( ) . " '•.�= i;�� -%t Tdal land (ICie 1 pirs fvre � ig) 4 ���,g`�,}` x � ' "�,�G,`.�<g? " rsesieendal'unpiwer.,enu ornnrn,aty �`g �4� ', t �'s`G"�;5�`.�ief>�` 4 ��s��,t�'�4��^i assessea nbnae � Marartaared rmme ,�'s� '"��, Y� M`��� ��" � �� (� ����:'xs¢�t..,lrTt+'s�'r��,j',�� .,. _ �.;..; Olhef'vnpfOVerr1�LS (6) -�'M{� �,�;,�` ,. Ttlal "unprovar�erAS (frre 4 Uwugh Gne 6) �7� Tdel value (1'nre 3 phs ffne n (g) I herPby certiiy tl�e above is true, cared. end Sg�mn+e of Mxssar D�e eipned m�le. VaifyinB adian' S�aEne of Ndtar Date signed � ' ' ; ? ' _,.a., 20 _ Pay 20 _ Lesser a( 72 H�d Valuation w f35,000 E ��