HomeMy WebLinkAboutHomestead_WilderCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Stete Form 5473 (R614-03)
Praai6ed by Me Departrnem ot Loral Govemment Finance
INSTRUCTIONS: See reverse side /or filing inshuctions,
FORM YEAR
� U 1� cio �� �7
�. .�J
2006
I(4Ve) C� /L:�(/tJ certify �hat o`r`the rs`t da� ( March, 20
I(We) occ ' as our principal place of residence the fol owing described real pmperty for which a Homestead �7g�Q}Nf�(41#9374 Aei�tij�imed:
� I(We wned ❑ Are buying under coniract
� Have a benefidal interest in ihe enGty that is liable for the property taxes on the property and ihat owns the property or is buying under a contraU.
If buying om m�tred, Fee Sunple owner's name
Remrdefs office where wniract is recorded
�=�c- .l.F '4'.S� � �. .
_ i%,��l.�r_=�'�'a:•r. e:�£i?,�I �'%s,--�'�N�,
Caunb � - . . To.mship
Parcel number
Is the pmperty
�'3'/� �
It any portion ol ihe residenUel sWCture w the land not exceetling one (1) aae tha��e� te� surrounds that
a� �hg Gra� to produce income. d .T
.`�j �
� �G �9-��-�/-an.o�� _oaG
County
Tavnship
I hereby certify the above statements are We, wrrect and complete.
and
Couniy
Record numEer I Page
Real proparty ❑ Mobila Homo (I.C. 61.1-7)
ire is used b produce income, describa Ne use and portion
Tavnship
���'�''S� " � "'''�"" �'� �t.=�� '��'TRUETAX� � ASSESSED VALUE �aHOMESTEADz2''E" NON3RESIDENTIAL
�� � ASSESSOR�USE,ONLY 7' a �� �`�VALl1Eyw � v� � AT.100% OF-TN � � '' � ���� '' '��
ii'.: .�� �v..s ....�= . 1 ...,'.! �u�uVALUEs�,'�+--� f�� �,;,YALUE �m_�r'F _
yr
Land not exceeding 1(one) acre immediately ��i�.� , .�.x ��
,_. ... . , . > .,.. ,
surroundingresidentiaiimprovements. (�) � ��"�Y..����
Other land (Z� �� > r, � .
�,:,.:��-��� '�'�'�
Total land (line 1 plus line 2) (3�
�: �
''�.:�"���.�„-... -�: •a- -..s
Dwelling (4) �����„�p �,��
Residential impiovements or Mnualty .�#� '�. � �- -F
0.sseued Moblle / Manufadured Homa Garage 5 cc,� i�^�*�, �,� ���"'
( ) ��.,a�-a�X:'t�i - � �,-
. : ':�''�-''�'1' ` `�,�z. -
Otherimprovements (6) ,�A�� �"�
�.� x.`�,'4:P== GGa`�-`;s�
Total improvements (Irne 4 through line 6) (��
T�al value (line 3 plrs line n (g�
I hereby ceAi(y �he above i5 We, tortetl, and Signature ofAsseswr Date signed
mmpleta.
Verifying action - Sigreture oflwditor Date signed
��'x�.�±%�` �3=�}�x"��'%�'.����'-''—`STANDARD:OEOUCTIONALLOWANCE_�'�*'�.a���'4`b�*?'��*��.�°��,
_ __
20 _ Pay 20 _
Lesser ot 1/2 Homestead
ValuaLOn w S35.Wp 5
Sigreh�re of PuEilor " Date signeA