Homestead_Mayer (10)° CLAIM FOR HOMESTEAD PROPERTY TAX
-- ; CREDIT/STANDARD DEDUCTION
` ' S Slate Fortn 5673 (R8 / 7-07)
Prascnbed by Ihe Depar�meirt af Loral Govemment Finance
INSTRUCTIONS: See reverse side Ior filing ins6uctions.
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II(We) �� � certity fhat on the 1� I5Fa�_
I(We) 'ed as our prindpal place of r nce tlie fWbwing described real perty (a which a Homestead Property TacCre� i' tl��
, GIBSON G �„
I(We) owned ❑ Me buying under contract
Have a benefiaal interest in the entiy that is IiaWe for the property faxes on the property and that owns the property or is buying under a contrad.
IT birying on wniract, Fee Simple ownels tmme
Counry
Pa�cel number
Twmship
(cQi: rown.
Is �he
i��- �rc �r_ a� - 3 -�r i
tt arry paUon N �he resideMial siruaure u Iha land na exceedirg orre (i) xre Vut im�atey wnounds ihal
af Ihe propeM1y uli6z� In produca inmme. �� O
-/�_�G-�7"�-Ooa. /��-�01�"
Recwd number � Page
al properry U Mobile Home (/C 6-1.7-n
is used to produce Income, descriDe Ure use end portion
,. , . . .. . ,
„..
Land not ex�rg 1(o�re) acre immediately Us ?;., `�
wrtounding rasidential improvemenls. (�� �; �,��.. r _ ,.,,�-._." :-_ :.
Other lard �p� '`-"� `;3:'i'?! :';:'.
Tdal IarM (line 1 plus line 2) (3�
K t�Y �
Dweiling (4) ' - �
Residential'unprwemenLSwMnuaily 4",�-� " Y
Assessed Mobile / Manutachi2d Home - �� ' :; ,`�`-`k.' ,
Garage �5) Iz�,,:T �j - ; -
r
:p : � ,
Ottierimprovements (6) ., ,-�;=.-:"�,;,_u-..;.
tt �
�:� �I:=�' :�: •. . -.. ., .,
Tctal improvemenis (line 4 fhrough Gne 6) �7�
Tcfal value (I'v'e 3 pl's Grre n �g�
1 hefeby certity the above is We. Corted. aM Sigrrewre ofAssessor Oate signed (month, daY.Y�)
complete.
Vailyinp ectian - Sigrm4ne Oi �tor Date 5igned (mmN. QaY• Y�A
p_PaYZ�_
lesser oF 12
Homestead Valuation
or
signaWra of fwdtv
45,000 for 2007 pay 2008 42,000 for 2010 pay 2011
44,000 tor 2008 pay 2009 41.000 for 2071 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2012