Homestead_NewtonCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
� State Fortn 5a73 (R8/7-07)
��«. � Prescnbed by the Deoartment oF Local Govemment Fina(roe
INSTRUCTIONS: See /everse side /or filing insbucfions.
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I(We) _�7'�-u wLC. �j'i/�, , 018$QN COUNTY Auoi wn
certify Mat on ihe 1 st day of March, 24_
I(We) occupied as our prinapai place of residence Ihe following described real property for which a Homestead Pmperty Tac Credit is hereby daimed:
'I(We) owned ❑ Are buying under wntrad
J Have a benefidal interest in ihe entity thal is Iiabie for the property tazes on the property and that owns the properry or is buying under a contrad.
If birying om m�Uea, Fee Simple or+iels imme
Recardafa of6ce whera mnftact is recwded
Counly Tawnship
tam. famsNP)
Recortl number I Page
Parcel number Legal descriplion (• 3 3o A G I Is Ihe property in question:
� $ LCl a�- 3-� i ❑ Real property ❑ Mobile Fbme (IC 6-f.7-�
If airy portion of Ue reside�rtial structure w tl�e Wnd not a�cceediru� one (t) acre that imm�ately surmunds ihat siructura is used m produce Uimrtre, tlescribe the use aM portbn
dlhe property uUGutl In pmduce income.
a �-l�- a7 - 300 - ooi �3i -o �s
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Land not ez�rg 1(one) acre immediatety '�`".�; "'=`:;;`-.."�% - .
wrroundirg residential improvemenfs. ��� � � �
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Other Iand (2) -- _
Tdal land (line 1 plus line 2) �3�
.;� Yi�6f �� ... .-.i� .
ResidentialimprovementsorMnually Dwelling (4) 3�.::=.ir�.-_w_.._'=:T:Ty.x;.�-.:`='��.»
Assessed MOhI¢ / ManUfaGW Rd HOmB ��" pr'„s ��, ,tiS,� ,f r r j�'-
sse
��e �5� �� �`�.a'��:�-, �` � y �� -'ti'.;c �, �
Ofherimprovemenfs (6) +-''a�:Y�..��" e
•_.Ni+4`sit:i'F�%�r'
Tdal improvements (line 4 through liire 6) �7)
Tdal value Qine 3 p!'s lirre n �g�
I hereby cer6fy ihe above is We. cortett. and Sigrawre otASSessor Date signed (monlh. daY•Yea�
complete.
ve;rr� aao� - sbnaw�e aa,dnw Date sipned (month. OaY.Y��
N1 _ pay 20 _
�esse� or �n
Homestead ValuaCOn
w
signaWreof�tu �
45,000 for 2007 pay 2�8 42.000 tor 2010 pay 2011
44.000 for 2008 pay 2009 41.000 for 2011 pay 2012 $
43,000 for 2009 pay 2010 40,000 payable after 2012