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Homestead_Douglas (7)CLAIM FOR HOAAESTEAD PROPERTY TAX CREDIT/STANDARD DEDUCTION Stffie Fonn S173 (R7 � 5�0� PiasaaeA M Qia Dapartrren� of Loo31 Gv+ernrere Fvan� iNSrnucnor�s: s� �� s;�a rw r��y �,so-�m�. .:. . .. . `� ... cExnFlCnn ��\\�l['1 �T �7��\Rt�Ti1�17[f�T�1!���\ a� -- -- - A��:� . ` � � ^ _ ... - � ; FORM HC70 �-��-z�s �. � . , _. �_ certify that on tlie 1 si day af Mardi, 20_ real p�opeAy for whirh a Hm�estead Prope�ty Tmc Gedl is herehy daimed: is buying under a contrac[ .:. ':., ;',•,: ,. , � :. ; , ' .: : �� :� ...: . _• CONTRACT:I�CORDmb'��t° „n " � � ��.«e � t ��{Y?.;�Sj�'i ff a+Y�9 on mitraa Fee Si�le wvners reme �. �� �� �a �� u �eca'deE Recad number Page Canq Paroei'narma Tuvrsfup Tamig di5rict b �`' I'{' IY �� n� D�� ��i ��.:_ ❑ R� P��Y ❑ MoEib HOne (LC. 61.1-n � n ary porEOn or �na raside�vial cwmae or me wna na� ore (1) me mat'onmadalrJy a�rta.� ur� ffi�,mae in ugea m pmm,ce :wnie. deavbe me �ae and por�ion af Itre prapeM1y Wiimd m pm�me umrie. � �p��- o�b-1���/C2� -��:� 9�-O�� `T"�"` . � ; ��Ermownen erc�noLnHra oniei�s��,;- _ . �� x: ;� � o��.� �` �'°-�. �;� Counry Tornship Counry Twrahip.. . I hereby oertify fhe abwe Sta�CS a2 true. mrred and carrple6e. �'�"e d damaa - (nu�ber end �eet �1: �1e. 7JP mde) �ASSESSORU�ONLY �r�tt� .T 7%IETAX� . ASSESSFDVALUE F10YES7EAD` ..4/'��qONi!£SIDHiML�'4rrY�� .r1.... :.���, t. .,� .wt � S�v..s�',cc�:: VALUE;' ATIQOX30FTTV� i}`-� VALUEo!'X� .-�c.�3ti�ytVALUE7d:_`��.."itiz*�°``�:i Land not ezceeding 1(one) aae imrnec5a�ly. , r �'; s�+�`t�, 3ar''c�'M '�''.,`,� �sf ��1�'� s�urow�d'ugresidentialirtipooertienCS. (�) ,y:o��..��s��K�'^",�i�r�sh��n��.-�"'.�,`s�r"`� �l y K � : �fIBf�2fld 2 , t..'� `�� 1 � % 1� �, R . Tu� Fand (Icre 1 peu rme � (3) l��.�1C i `-:W .}`�iMkFYji� V�O�YII� �4) �Y y .i�t ��j.l � �A� ��kya�§��a,rl Resdenfial "vnprvvemen�s wMrwally r �:,,-�c: s[ �r . .: �9!�s.5`t, � �10bdB 1 �dCd FIOff12 ^r' 3 �i `£�'~t.� k �'r�y'�';i � ,. � � ��e (5) ��H .�'� . � �d�Ti"-cy� "iY. .:i ;, � i� � t`(;�. �..t OClef unpfrn'ert�ents �6) ' . �"; ,.: a Tdal unprovertiertls (6re 4/Ivough 6ne 6) �7� Tdal value (Irne 3 pha Gne � �g� I hereby certiy the a6we is true� cart.d. and si8rehae of �r Date sig�ed �rt�p�te. Ve�M�B adfm - Si�a6ae oFAu6tar Date sis{p�ed . . � . . , ' . STMIDIIRD DEDUCTION ALLOWANCE '.,S' -:��: „r S�'�' ;�� k! `',;i�E,y,$nxi,S 20_Pay20_ Lesser of 12 Hortcstrad V�uation � 535.000 E Si�ue o(Aud�Mr Date s�pred