HomeMy WebLinkAboutHomestead_SensmeierCLAIM FOR HOMESTEAD PROPERTY TAX
- CREDIT/STANDARD DEDUCTION
Slata Fortn 5/73 (R614-03)
I Resaibed by Uro DePertneirt d Local Gowmmeirt Finaxe
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�0� YEAR �
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DEC 2 1 2005
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� (We) �.Q�J�./ ceni(y ��$C1NeC16fl11A�Mf ���t�
I(We) occupied as r principal place of residence the following descnbed real property for which a Homestead Property Tac Credit is hereby daimed:
� I(We) owned ❑ Are buying under contract
❑ Have a benefidal interest in lhe entity that is liable for the property taxes on ihe property and that owns ihe property or is buying under a contract.
If buy'ug on conuap, Fee Simple owners name
RemrGefs ofice where corNad is remrde0
�"+w."' ��ra
,�sis�� �°.F�- �`��"��'r��X�`.�t
Caunty � Tavnship
Is the
ll� �-C�[_�� /�_ -t'�X �VU�C>.4 Y�79.�K. l 7 I
If any portion of Ihe residential sW cWre a Na land nd excceAing one (1) ace Nat immediatety wrtounds Nat
ol ihe property W!¢ed W produce inmme.
=��Z'�����Yi'�_:� �'�"� � ,�?ROP.ERTY;OWNED��BY�CL'AIMANT IN,'OTHER'
County Twvnship Cpnnty
I hereby certify the a6ove statements are W e, coned and complete.
Record numEer � Page
Rea� D�opeM U Mobile Hwno (I.C. 67.7-7)
�re is used W produce incane, Aesaibe Me use and portbn
�� dress (number aM sfieet, cify, sfate, ZIP L/
'ID� �Trc � f2 /' �/ cLr� �r. F+ • �-uv�ti- . =n� �-i��"1(a�PJ
�-_•�.y?�'��fa«- �'n,d�`�tis'�i'����"t?���'�.�"k+:STANDARU`:DEDUCTION'ALCOV11AtiCE:::;�?r��"�z.�'31'�;-':�as.��'�-`�k?����s��!�.w."�.`�"1`?�r'3.
20 _ Pay 20 _
� lesserof 1/2 Homestead
ve�uanon a f35.000 g
S"gnaWre of Fwdi[or � Date sgned
_' _ _ _" _.� i = __` �