HomeMy WebLinkAboutHomestead_Wallis (5)`��" CLAIM FdR HOMESTEAD PROPERTY TAX
r - � � CREDIT/STANDARD DEDUCTION
,` - 1 Slate Fam 5473 (RB ! 7-07)
Prescnbed by Iha OepaNnent of Lotal Govemmeni Finance
1NSTRUCTIONS: Sae reverse side for filing insWcfions.
FORM YEAR
HC10 �
!J
i(we) � hiQ/4t.�, -�` I � c,� KXd � certiry th�i��'ml i4t e 008 Ma��n, zo_
I(VJe) occupied as our prindpal place of residence the follovring descdbed real property for which a Homestead P%perty Tac Creditjs hereby daimed:
�� ��6� ���� T�1
I(We) owned ❑ Are buying under contract O v
Have a benefidal interest in the enfity that is liable fw the property tazes on ihe property and that owns tl(g1�8�Ud�r ��b�r�iii�era contract.
Ii buying on conirad, Fea Simple ownafs name
where coriirad is recortled
To.vnship
Legaldescnption
to:vn,
Is Ihe property
Itarry portion of the residential sUUCture w ihe land not e�cceeding orre (i) acre that immediately surrounds ihal
o`Ihe property utifized In produce income.
Record number � Page
❑ Modle Home pC &1.
fs used to pmduce inwme, descnbe �he uu antl poMion
�_ � � • .� • �
i�'. •
Land not ezceeding 1(one) aae immedia[ety - c ti-.�: ` �- `
surrounding residential improvements. (�% , -._ -
Other land �p� - �
Tdal land (line 1 p�us line 2) �g�
Dwelling (4) - '
Residential imprrnements w Mnualty
Assessed Mobile / ManufacWred Home
Garage �5�
ONer improvements (6) .
Tda� improvements (line 4 tlrrough Iine 6) (7�
TUaI value (I'vie 3 pl`s line n �g�
I herEby cerfi(y fhe above is We, CoReCt, and SignaWre ofAssesmr Date signed (rswntfi, day, yea�
complete.
Vsifyirg adion - SignaWre of PLditor Date signed (iranN, day, year)
2C pay 20 _ 45.000 for 2007 pay 2008 42.000 for 207 0 pay 2011
Lesser of i/2 qq.000 for 2008 pay 2009 41.000 for 207 7 pay 2012
Homestead Valuation
w 43,000 for 2009 pay 2010 40,000 payable after 2012