Homestead_Kiefer; CLAIM FOR HOMESTEAD PROPERT.,Y:;TAX.;.;;,` ;
��' /V CREDIT/STANDARD DEDUCTION� � � . � - �
���I/ S�rtc Fonn ia �9 (R6 / 4-03) . . • .. ' . .
PrescnbeC by the Department of Local Govemmem Fiiiance '
INSTRUC'TIONS: See revcisc side lor liliny inslrur.fimu •. �� .' �
FORM
� �' HC70
_� T
YEAR
I(We) • P �e 9f �00� n the tst day of March, 20_
I(We) oaupied as our principai place o( residence propeAy ( r wh' a� estea�P�pperty Tac Credit is hereby daimed:
N /�a'`-A
� I(We) owned ❑ Are buying under wntract , 6� ��
Have a beneficial interest in,the entity that is liable for the property taxes on the property����,pFgp(tJjA��rop�iQy or��i�5 buying under a conVac�.
-�"r-'!;-d°.� L �'.�?-�-,�-`rc' ' F,� -,r`�'-`.ia`vo-a.,� �: �"� �: �.�:°_... =• _>}�.�-=:' CONTRACT_RECORDED •^�r ^'� _ _�:r:_.�' . - .�:_�'.. ''- _ r
It buying on contrad. Fea Simplo owner's name �� ��
Recordafs oifice where conUacl is remrded . Record number Page
Counry
It any pcnion ol ihe resiCer.tial sWUure m
W tAe p�operty utilizetl to produce income.
County
Tavnship
L I d �pti�, \ ��
, I 1
K.!
> Wnd not exceeAing one (1 � aae t�at imina
� - �9-01 �- o�/I/� -.
I hereby cerli(y the above statemenls are We, correct and complete.
ESCRIP,TION':;;'�:,_ � �', ? "II".`- � ^`.' -' ��� I;`�•'
Tacing disUitl (ciry, town, fownship)
i 1 th ' question:
� roperty ❑ Atobile Homo (/.Q bL14)
iatey surrounds�GUre is usetl to produce income, describe the use and portion
County
J�3-. a�S
ol claimant
Tpvnship
_
�'�s���:.R.+ aa.4t�c�.3i a'fi.l. 7� T.-. .�'. .., }� S� ; � . ... _ . . _ : . ,�, . . �
'"}`�'�.���,yrASSE550� SE ON LY'T_�='u��i i� ���UE' }°,}, � AAT 700°/. OF TTV 4yHOVALUE D� �t`�5 I��.y�, NON VALUENTIAL� �:�
a �3e ♦. . .es if �L� .-.�ss'e .R..J' �• . s �.F�+,-� a�I.•Y-'
Landnotexceedingl(one)acreimmediately �r�f�.l{Fj-�,�"a��* ��:�����
surtoundingresidentialimprovemenis. ��) y��,�,��q�_"�`rd�e„c:y`f.��:r
Otherland . � (2) ,F-„��,�,r„q.�S� '
'�}c`S`r. �.,
� +'EV�..'��"L.-.:�Y.'s'�'<:.�...
7otaf land (line 7 plus line 2) �3� �
. � t ..-�L� k.L 5k . � i � : . . :
DwelGng (4) . � -r; .!KY�=�� y-�;,:�r�+=:S`.�:.!
Residenlial impravements or Mnually
0.ssessed Mobile / Manu(aclured Home Garage � 5 X�ti �' �""� i y ��x„ �� .
( � =� :F.+ ��.-r'�. ':��n-Y,�-�'
<,'{� �..., _
Other improvemenis - - (6) ir °
=i_;, r '`,>;s�t:: �;,�,
Tctal improvements (line 4 through line 6) (7)
Tatal value (Gne 3 plta line n (g)
I hereby tertify the above is W e, corteU, and Signature ol Assessor Date signea
complete.
Venfying action - SignaWre oflwdimr Date signed
20 _ Pay 20 _
Le>ser of V2 Homestead
vaivauon or 535.000
S
Signature of Pudear ( / I � I� . I� I � �_ . .. I Dat�r / � —O
V {� � �/i�_