Homestead_Barton (5)�
�
y���CLAIM FOR HOMESTEAD PROPERTY TAX
, STANDARD I SUPPLEMENTAL DEDUCTION
�4& suuF�w3m�:ism�
� '�� Heameeoo-�vrOewmKruallodGO�+nmmiF
� t '
I� f S
■ ,'��*'��.� J
�.; '
� � 11�
riw rnu� i �vrvo. ove mverae sue �u �m�ry o wucwr�a
� (We) �' CenifY Rut�$�Q�i�vcwN(�) DMdp�
plate of residence m am ( r puying Ihe (dlwNfg Eesmbed real property tm wid�li a HmnesteaE Property Tas 5laMard DeduCion o hereby tla"uned
�nEer mnTdq on ihe Oate �^'. app§ration is Netl. (dare d fJvg):
� I M'e) own ❑ ao (arel o�s+�e ��aa. re�oreea �vaa
❑ Am (are) mtitleC b ottvPy as a tenan4stockhd0er o1 a cooperaWe �ousing corpora6w
� Have a bene(tlal interesl in Ne Vust or Ne ngM to occvpy Ne property wCer Uie terms ot a qvaGfieE persanal resiCence Wst
�+� awwal��.1
1 c �nr o
s� �.,
dam:w��Paame�+
d Whnanre mu.x (.kga� ro. � �.y
Y1St' Vart' O t1 �«
sooa . Ibe rt.e m�m/ oi.�r: �� we,ms�.x�,�' ✓— iss,� sn, 1�
d aavrt::w�e Ims av.
C W1T5 m wnna6 Fea SvnO�e ownCt reme
AxaCMt ot5r x�ere cmo-aG 6 remEeE RemE rumher Pape
(;ay¢y Twm4iq , Ta�ig Eu]it] Ioi'. fam.lrn+ufy) -
axcdavnem �Nyd�w� n payertyinpuea:bn:
RWproperty ❑MwahaaeaeErtnEbhameULbt.t-J)
rc+�Y oa� o( ca emiaenaal �tume v ina mm m e.rse�g ww (1) ave mat i^unemalM' unavas maz svucme b uea m w�� xare. aesmLe um �aa via oa�
W NO uNZM b pMi¢'v�mrn.
�i9-a 9-/0 � Go . �.�s-oa�
ca,nr rw..�s�:o �u.�:r rw.w:o
I nereby ceNry the aEOVe statemenLS are we, mrted aM complete. u""O"�
eGCrev (nlnNer aM s�w[ rYy,Yata. uN ZlPmda)
l�
�and ewt e�csMln9 f I�el acre immMirtey (�� . - . �-
surtvunEln rasldeMlallm mm3.
ONr IanE (2) . .
Tdal W01�n� f plus lina Z� (y)
RsalhnllalMprovemarrtsorAmually �elllnp (4) - - "
/u�esaMNOEYaIMSUefacm�dHane Gara9� (5) - � `
ONaimWwemum (6) - .. "
rma tnv�o��m.�m Inne � mlonqn urw � (])
Taa1 value (/In� 3 Wu We )� (8)
1 hereby certiy Ne aEOVe is vue, cortact, �'�°B °�'� 5°°° �B �� �"°'�� eay' �
and complete.
VaQyvg auim - SlrywOUa f/.ultar Dab vgieE (�. �Y We�)
20 _ pay 20 _ lesser o1605: W 1he assesseE vAue ot Ne �omes:ead m 5a5.000
MnWSa+EvqanyofM.prorisicrr.IMvmdNetleC:rt.anspoMeOii1L61.1-1SroeniaWefwmeNalu $
mt assxuE n malpeceM aro e marWaeveC Ivne uw e rv asmsse�a�.eal waCMYmaY na e.ceM
arehe0(127 dNe uusv0 va��e dVre nw�]e Mne amanu(ac(ure0�ame.
Sfp�a:ue diu4m Date vgKN (mp't10sy.I+M
��