HomeMy WebLinkAboutHomestead_NiehausCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
` � ' SUte Fortn 5173 (R817-07)
Prescnbed by Ihe Departmerrt of Lacal Govemment Finanoe
INSTRUCTIONS: See reverse side lor filing insWcfions.
FORM YEAR
HC1q�
e
� � ri i
Ut� 0 5 2008
� M'e> la-/7�-(� �! °� 7vt-�-�- `�. 7'Lr.C�'',Q-`'"'i `�_ .a,S�o�
certify tl�at on the 1 st `�y of Marth. 20_
1(We) pied as our prindpal place of residence the following desuibed real property fa which a Homestead Pro�gtyJpc��i3'h�H�lmed:
�� I(We) owned ❑ Are buying under contraa
Have a benefidal in[erest in the entiry that is liable for the property taxes on the property and that owns the property or is buying under a contraG.
If Wyc�g on canVacl, Fee Simple wnafa rmma
Recadafs office wMra mntraa is recorUed
Counry Tw+uhip
wu
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Legal tlescn tion
PT sc� .z�-
IRecord number I Paga
� • •
Tm�'v�g dislrict (cdy, fmm, townsNP)
C.(�n.[,�,v
�{./05 � LI is u,e w�m � q�w�:
❑ rtea� v�ro ❑ Mow�e rm�„e vc s-,.,-n
H arry portbn of Ure residential sWCWre w �he Wnd nol exceeAirq7 arre (7 ) acre Ihat immediately wrmuntls Ihal stnicture is used b produce income, CescnDe Ilre use and portion
of the P��nY uUOZatl �0 produce inmme.
a�-�8 - al�- 300 - oo �. 090 _o �S
.- .
, . .. . ,
„.
Land nol ezceeding 1(orre) aae irtvnediatety �-''� � �-
wrroundirg residential improvements. (�� � � ' _
Other Wnd �p) - - _ - .
Tdal Iand (line 1 plus fine 2) �3)
Dwelling (q) _ .: r��. .. -.
ResidentialimprovementsorMnualty ' �+���'�� -'
Assessed Mob�le I ManutaCured Home - . �: --.,ti.. � - _
Garage (g� �'..;. . . . .
':..
Other improvements (6) .
TcWI improvements (line 4 thmugh line 6) �7�
Talal value (line 3 pLs liire � (g)
I hefeby certify the above is We, correGl, arW Signature of Asswsw Oate signed (mmth, day, year)
complete.
Veriryirg aaon - SigreWre MAUdita Date signed (monih, day. yea�
�..� � � � •
�Y 2� _ 4$.Opp for 2007 pay 2008 42.000 for 2010 pay 2011
Leuer o( 12 qq.000 for 2008 pay 2009 41.000 for 2011 pay 2012
Homestead Valuatim S
w 43.000 for 2009 pay 2070 40,000 payable after 2012
Signature ot �ta Date signed (manfh. QaY. Yea�