HomeMy WebLinkAboutHomestead_Simpson (6)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
Sista Fam St73 (R6l M3)
Pre�alEed M ttro Departrnmt d Local Govemment Finaxe
INSTRUCTIONS: See ieverso ffido py fi�g uraburbyK.
FORM �' YEAR
HC10
� �e) / `� certify iha�r t�he�i���,1pIj�arch. 20_
I(We) occupied as our principal place oi residence Ihe follo ' g desuibed real property (or which a Homestead Property Ta�c e l5� ereby daimed:
❑ I(VJe) owned ❑ Are buying under wntracl �py�(,a, +, �
' Have a benefidal interest in ihe entiry that is liable for the property taxes on the property and that owns the property orviR b�i�under a wntract.
GIBSON cnuur.. .,....__
If buying on contad, Fee Simple owners name
Recordefs olfice whwe coniraq
Tamship
Legal description
districl (city,
the
Record number � Page
�/ —VVWJ /"l�lJ I Droperty ❑ Mobile Homo (LC. 61.7-n
If any poAion o( the residenlial structure w the land not axceeding one (1) aae that immediatety wrtounds �hat sw ra is used to praduce income, desvi6e Ihe use and portbn
of the properly utS¢ed tn produce income.
� - �� - %' /3 -�m- �. �s9- ��� I
°�-T^ x "tSS'f�'Y�x:'Y�'��+� hT_T ��4''¢� 'c+d . � . . . �.v-c,. . .sm -o. � - ^+>y..
�ASSESSOR�USEONLY• r `�' TRUETAX ��ASSESSEDVALUE �HOMESTEAD NONRESIDENTIAL�' �
'� .,�v �{�y�g'F�+"����� �-c+VALUE � �A71100%OFIT/ � SVALUE �?"€�� ` VALUE'�"�`�'s`
�'..�''�t :3�'s.lSanU.sS"t&�` u�.. _,...t.. �:. � �.,l....� �'t,. ��s�.a� y �.�. K.r�,,.
_�.�.
Land nol exceeding 1(one) aae immediatety � J`'' '�� +?F�`,fi.�.�a'".-; 'a'� �u�
surroundingresidenfialimprovemenLs. (�) ����� 4��sy.�.r��?��
Other land f s��'. � ` ��: �
(Z) ��A,� � '.��
Total land (line 1 plus line 2) �g�
�'��''`?�K`��•.�kN' ��'�a'� �.�•*�
Dwelling (4) �4��;��,.L���_�,�
ResidentialfmprovemenlswMnuaOy ���es� � �,,���.
Ass�sed MobilelManuFacWied Hane Gara e () ba`y�-��*' _-,2.•. '�. �
9 5 ���"��.{�
.�:�,���,3:qg
Otherimprovements (6) F�=?', ;�'"''�-'"!�"
' _ �!t4�'�'a•�i1i�"s
Tdal improvements (line 4 fhrough line 6) (7�
Total value (line 3 pl(a line n (g�
I hereby certify fhe above is We, corted, and SignaNre of Assessor Date signed
complete.
Verityirg acGOn - SignaWre o�Auditnr Date signed
20_Pay20_
Lesser of t/2 Homestead
VauaUan or 535.000
3
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