Homestead_Marsh (4) Reset Form
. .• , CLAIM FOR HOMESTEAD PROPERTY TAX ! _ YEAR
.
r FORM
'' STANDARD! SUPPLEMENTAL DEDUCTION 7i02 I
Slate Forst 5473 iR20 '2."4HOW_ -.--.-.-- .----.
n•escnLed M he.Depaat`Kt of Lot*fr_.e--,e'r c^r,c-c
NSTPUCT?3NS See reverse s+de i'4r Sting ins1n c1 ds
1107E Telephone Social Siscostry Crivar a beanie. scare rpanreheatICin arm Ittrietar c)e.'":hta:,or'►nurnbe►S are conhrlanfral under IC 6 1 f•f237
C.L.N1,ilCATION S1i.1Er.TE'.T
!!el •I/ ...A_ certify that t Iwo)occupies as my last On"uitat dace 9f
'esrdenc am „ buya.q to wvr.•r sera, tsar progeny under comma Ice which a t4ryne{ferad Property Tau Standard Deduct+on rs revery tiler ed on eye
!rats�+ ra s a r. f'prt. qnc. CT{{1 16 Zy .are Of t. atwsl I(VW
rJyyl 1 __ Ain(we)QWf^0 under waded contract
— tare)entitled 10 DoCupy ate Al tenant elOckhoider of a cooperative housaty cawMt.on
- Have a GanafC.aI*ttenst r•Ise trust or the right to occupy the prnpony under tM terms of a 4.:al4i d personal residence trust
A"tares Noe shewMordor Par•'r or member or fl4 entity eNal darts the pri i,-,
It Buywno on Contract.hoc S4mpls Onrter s Naar
Recent"a U1e•cn .ti+wa Comaraa:a Reoorsso - I rased r*,r'r'ner 1 Pons
PROPERTY DESCRIPTION
Car'* Tavrreteavp 'a..y tee Krr row, ro..rsn,ol
Cs-\ orN.
Parcel rruntaer Legal Deicrpe,v^ I`ie irir-4 orow!nr r'-q.+aac,r,
Rea
6
,. 1 me r ,MnaN'truce',"Or the land not eftaeC*tq tree(I)acre Vaal tntmadtala sU�1un<7a at atni Propertyu to U{ed to p/OdrlCe ASae�1+�Mr4fa r+r+"•i,C p t 1-�
' t!any portro o • +K nconte.desert,the use and portion
Y Vv prop•*tY ut zed tc or'o0.e..•negrna
6 - IZ - u L o2._ ._ cfo LI . 5 V 2...is
P K/PERTY OWNED ELSEWHERE 8Y CLAIMANT
X i't,D‘ . iAll
r l /WAR t is Oa . art vacsttr.o a rtormestearl'-Itilflth____i
eby C- •fy the above statements are true correct and cu.•...let.
.6 actress '. ;":smear rya ate.'. 'Off a„1:OP To,1 Address f Va atr�eru*t.es'e a-3 #fir r ^.ra+r and VW! r'y PIO Z COON .....
) co .3 9,tee Coe,c Y Q ^— fit^— '2)140 c,� rile(,.uo,,3101 ,r K.o(A •0+'� �') -Li4613
ASSESSOR USE ONLY ASScSSFD VALUE , HOMESTEAD VALUE ( NON.RESIUENTIAL VALUE
Land Not Exceeding One(t)Acre Immertuttrey (1,
Surrounding Residential Improvement --- - ----4—. - .'- -_
Other Land 121 A
Total Land fir*1 plus line 2) (3)
Residential Improvements or Dwelling 141 _---
Annually Assessed Mobile t . - - ►' -- -- ------ �,
Manufactured Home Garage t5)
Other Improvements (6)
11,
Total Improvements(Gars 4 through Llnn 6) (7) n ./ 4
Total Value flint 3 plus Line 7) (8) is y C/
— Sgnxtun of r aa•s•ar O Y I Ore S• ned'e�k ►eM
�cY I
I hereby certify the above is true,correct,and complote.
i yr-ern ACLon s.ornat.tr•of Audfor _.- ---- t... .ti ,: 1` :era month.peer)
�Y/ sC 9,
STANDARD DEtrUCT1OM ALLOWANCE
20 Pay 20—. Lefler of 50''.of the aeaieased waive 0,the►omestead of Sots.10 ' iQ
Nor.4,rnVending any tenet[xrcrsrce, rite sum of the detsiCiiOnft Wrl!I wi el 1C 6.1 1-12 io a mootle?Nude mat S
is ra7f as sestet as red!pt".daer'r GY fa a rteftnufaCTureC Name OW rs npf assatasea as taw p operry nay not l
eaceer1 orae neM(sr?)d ins assessed other dire moor*near+or mtsnuMctrwad awes 1 'T: i '
j� u� 'CIS VT\ /0
ot,TRttauTtOnt. Ongetr-C.a�^pr Avetor F,e•-Starrved Cocas- T s.v+rar
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