Homestead_Schletera' CLAIM-FOR HOMESTEAD PROPERTY TAX
z CREDIT/STANDARD DEDUCTION
t Stata Fwm Sd73 (R614-03)
� Resrnbed by the DepartrnaM of Local Govemment Finance
INSTRUCTIONS: See �everse side fa fifing instrvUions.
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I(We) _ WAlJL�J\ �� � J�[q�� � � 1J l.�'�2J�.- ce �� o dey of,March, 20
I(We) oaupied as our prindpal place of ence ihe following described real property for which a Hom SeOaN Croye�.� ereby daimed:
��,'" � C B Ou
e) ownad ❑ Are buying urWer contracl '
Have e benefidal interest in the enUty Nat is lieble for Ne properry t�es on Ne property and Nat owns Ne property or is buying under a convact.
1f buying on coMrect, Fee Simple ownafs name
RecwEers
Counry
ratordeC
Parcel number al d�
o�-t-�a18� �+
I( eny pwtion M Ue residrntial sWCNre or the land not
ot Ne property utliized to produce income.
Tmcing
�S(n� �—�-I6
3 ona (1) acre ihet'unmediatey a
I .3y
_ ��� i,?/ _,
Rewrd number
fown,
Pepe
Is Ne property in quesLOn:
al proDerty ❑ Moblle Home (I.C. 67J-n
wnds Nat s Gure is used to produca income, desaibe tha usa and O�on
��'`���;�"�' '�""'``j��` `�`�' ��� r�'� =3sTRUETAX�`'x'�` ASSESSEDVALUE `` HOMESTEAD .'c "" NON,RESIDENTWL '
.'�zr�.���+<.��`'����+?R uKE�L^Y� ��' �a � �Sa{VALUE�'.y" sAT:.100Y.�OF�1SV� <'a.:VAL'UE-�.�9. h �x f .. VALUE ' � � �°:
Rs. �.� ,_?��+,Y' . r :}.�:.c _ �J:.
Lend not exceeding 1(one) acre immediatey . u; �,��'•.,.k,t� ��yZ7,.�',,>� ,�
surroundingresidentialimprovemants. (�) "`� '�.�{�;�k-!.��.,;,�_,;y,� �._;':
Other land ;
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Tatal lend (Ilne 1 plus line 2) �g�
y�£i 3 '^ {i+ S] r:TS�� �1
Dweliing (4) . �� �;a � �" ��.F'�,a.�....
Residentialimprovemen[sorMnualry ,�;,ns �a��>#�e '�"'x;,a��f'b��
AsSeSSed Mobile I Manu(achlrsd Home Gata e �� j�" �{by� �-���h'�P �'. �"
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9 5 Sk?,r'�'-cs:!��€.�,, rz��?i�:':.��':°
' ,�'..�m � tf
O�qe� improvements (6) �' .�e; �., y';�. �_
i'c-.S ..�:.� ; kr
�Tctal improvements (line d th�ough li�re 6) (7�
Tdal value (I/ne 3 plrs line � �g�
1 hereby certify the above is We, cortect, and � SignaW'e otPssassor . Da�e signed
compiete. �
Verilying ecUOn - Signature of Auditor Date signad
"' �"��' " ?'.i :n �"-r� f+"':° � ¢..'.<t�STANDARD;DEDUCTION'ACLOWANCE'�. .. .� � - ...<.. -. • - ��'F•'. -+.:`; . , -. .
20_Pay20_
Lesser of 1f2 Hwnestead S
Valuation or 535,000
SignaWre o(Auditor Date signad