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HomeMy WebLinkAboutHomestead_Dix_ CLAlPoI FOR HOMESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION smm r�, s�re �t� i sae� Pie�bed by Ihe Depatrraif ol Loml Go.�ertniai! Frwwe INSTRUCTIONS: See ieverse side Ior filing instrucGons. __ -. . ... . _ . ' :. :_ cernFlCan � � ,:. 3 � I��._ . . (: , � ` � �� � � � i p^ie) _ C�/LC.� C.II � L cer�rr u,ai o� e� i s� eay or t�arcn, zo_ I(We) ocaipied as av prmtipal plaae of rrsidence �he fo8owirg desaibed real property for which a Hanestead Pmpvly Tm� Credt is hereby daimed: ��(We) owned ❑ Are buymg unda contract Have a benefidal v�terest in ihe entiry that is liade for tAe property tazes m the propaty and Mat owns Cie property or is buying urMer a mntract -_. -. , .: . ... ,, , ,. . . . „� . ,. , �, �. . " �. . � � CONTRACT:F�CORDm�Fx� ��, 5 c -s` w .:-� . . ..,. a� _. ,.a . � .. � , . � .., . . .r�. 9 <.. 'Ti� . :._ . �o? 1`�sb.. � .. , �: >5,a1;,a7{t° i iI �IB 0I1 mllil'dCL f08 SIII�B OWIIBrS f18rt18 RewdelS ol6m w'hea cordrati ia recudad Re�d number Pege . _ .Ci�:' ' . '..x. . �ry,: . r�mo ��� � � J�' I��� 3 -// tt arry d �he �iderrtial struWne a Me lad nal mcceeding one (1) aae tliat �nmad�ly anmuMS tivl d Bre �imd m pmdce c�mrne. a�- l�-/� /vo-000.DG�--oa�' poperly ❑ Mohik Mortia (I.C. 61.1-� � usetl b praE�ce "e�mrtie. �be U�a �ne md pation .. ,' .:°. � � - r : r � �i`•� ;,'. TRUETAX �;� ASSE .SSFD VALUE HQ8�S7EIIDF . ��'.c �tNON-RES(DBIiIAL�S���E�:� .. � ASSESSOR USE ONLY. h .. yp��E., "aAT 100X OF TTV t ' ��YAUIE $: 4 :u �B � �' VALUE � :-�"F � � ? '2 +�, ir. }� �ZC� .✓ �',_ „��_:r..bs:E..?.a ,Yw..d..,.4:nnRr_u .,. .r� _. . :.: �...:•:r .: ..... . . .. .. . .. ... .. . ,.�., .... .. .. , Lend nOt EsOCEding 1(OnB) eaB imt�a�ly `; '�F�i.2}"r�` vs�� ��° ��. :� ii�j�� s�mOtu�d'vg residen4al �rtqxo�ert�en�. (�) .7.e# a' �i a+�,�°��a.�-M'"'�t�^sti'�I Other land � ��� . 2 s' ( 1 ��>. �=i TU� Fard (l'vre 1 pku 6re � (g) . Dwem�9 (4) `,e� �kr�5,��� £�'��ai�as+��i��°n�'�4t; RCSid211fi21R11pfOVBmenLSafMml2�ly zx te f ��,.i �"Y'�P='¢c�'ir»'sY��iC'4�]�� Assessed Alodle / Alarn�4rad Fbme •- 2x a,�, } t�.��, x,�� 1;, s�.z 1Y^�.', ��e (5) �3 `y`d���`f' d���s �'`�� ��,.���}� _..� s� � s'�s d v ?' e N � QC1Cf rtfIplOVCrtllf�� �s� , y�t � � S . -i_..Y..'.� S�f T� "vnprovernertls (�ere 4 tivougA Gne 6) (7) Tcial value (l"ore 3 pds Gne n lg) I hereby cErtity the above is W e. m�e�t. and SiBretua ofAse�sv Date s'gied comPlete- Veityug aaim - Signame of /uWta �am si�g+ed % '��STANDARDDEDUC710N/LLLOYYANCE ,-T:.:'� r"=-'i+�`".�`tY'.�`.�.�,z:'tt N1— P�Y � — Lesset of 12 Hamestead V�uation orS35.000 S SiguMe of AudOOr Daie s�ed