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r.l,,qlM FOR HOMESTEAD PROPERTY TAX
CREDR/S'�ANDARD DEDUCTION
sam � sna (R� i s-ou�
Pre�bad by tlie Depatrrari d Loml Gwertunad Fvw�
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� M�8) � certify that on fhe 1 st dey of March, 20_
I(We) oowpied as o�n p�'u�dpal M ' the totlowirg d real property Gor whirh a Fiortie5fe�eC-PropeRy'�uCrc�dit is hereby daimed:
�I(We) owned ❑ Me buyug unda cmtract GIBSON C UNl'r �;iG;','C4
Have a benefidal mterest m the entity 6iat is liade fiw Cie poperty taxes m the popaty and tliat owns Uie property or is huying under a contrad
tt dryog om m�tra]. Fee Sir�le owrefs rerre
FLamrtlels dfice whae mNaci is remrded
Remrtl numDer � Pega
.. ;vi 'PROP-ER7YDESCRIP.T1 ' ^� •' , '>� t . t. y.. v ti °j!r`� s<°�h�
Camy Taxrrship . Tmm�g d' ('.. . Eoim, twmstiP) .
Pa�cel nmma . Legal descrippm b U�e 'v� .
P�VertY ❑ Ma6ik Fbne (LG 61.1-� -
X erry patim d Iha raside'Nal sfirbre a the land nat �ng one (1) aae Nat inmedaiely nmam�k Iha1 c uaed b M��e i�am�e. desabe fha � mid pv0on
d Ihe qoperty Wifmd b produce 6tmrtie.
a(�-��-6�1-3oo-�a +� ►-G�
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,.,;.: :•�oaQZrrow►�mer,cuura+ro�'oTMetcoutrtgs�;.,- .�+.`._'.�.� _. �.;i>� 3,'�'t
Counry Tomship Caunry Tarnahip
I hereby oertify the abwe sia�nertls are true. mrrect and cortyleEe. ��+re d daimxs
(nuree. ero meeR oA: ��. Zw mee)
� :. `. ' t� � , r� TRUE TAX /6SSESSm VALUE HOO�STEAD' � �:� Y MONRESIDHJiIAL ^�''���a'�
� ���.ASSESSORUSEONLY . {t y�� . •. VAUIE;�v �. �%AT�100%OF-TiVe i.r .z';,VALUE a,..� �� J,..11'��;$�>s-nVAL1JE.�'..�;KcT�xak°�:.
LErld rlot e�ng 7(W'e) ede itm�edHtely °`�i '�� �i}K�" �-h'�`,<<�'�`�': T,y'�i�,�?;k
slaio�mdvg2sidenlialimpoyert���. ��) itNSY�'%�`iro�;�"�.��i5�->P`.�ii.�5t?r�:
2 ' � J
ONerlard ( ) � .�'.^,i Y� '�j�; .
Td� land (l'v,e 1 pd�s (me � (g)
��[� �`�,�����45si�ylfr5?'za}y�W����'7
Residential cnprovements orMrwaly �� (4) ;i 6� � �.,���;i�`.�Y���. iv� f.'p�.�-
AssesSed Moble / AAanufa�fed HOrt�O Ga e �� v�'�-iF'r�+.'�"�` 41T�<E;�'.�`4�n�«��?t'.:
� (5) �� "�.,`v .�t..�..,�"�'a.`��.�'. �?,�1,� �i�.`��.�.�.,'
Other impwemenis (6) i .:,�4y11 �� .
Tdal 'unprovemertls (ivre 4 Uvou� 6ne b) i7)
Tital value (1'vre 3 pds Hne � (g)
I hereby certify tlie abwe is We� carect. and Si8^�ae aF� Dam sigiea
ounplete_
VaiTymg adim - SignaEae of Pudtcr Date sigred
,5TlWDARDDEDUCTION�ALLOWNICE . '' n t .:2' `5�. M•% F l". ``-`�'�=".�t;z'{', I.
N) _ Pay 2b _ .
Lesser d 12 Hanestead
Valuatian w f35.000 f
Sga¢ua d NdOOr Dab s{�ed