Homestead_Spindler (12)�, CLAIM FOR HOMESTEAD PROPERTY TAX
' CREDIT/STANDARD DEDUCTION
S�ate Form 5473 (RB / L-09j
Prescribed by the Department of Local Govemment Finance
MSTRUCTIONS: See revcrse side lor /iling inslnicfions.
FORM
HC10
YEAR
�Y 0�
��e) J. itih.0 � certi(y Ihat on the 1sl day of March, 20_
I(VJe) occupied as our rincipal place of residence the (ollowin escnbed real property for which a Homestead Property Tac Credit is hereby daimed:
�I (We) owned ❑ Are buying under cantract
� Have a benefidal interest in Ihe entiry that is liable for the propeAy taxes on the property and ihat owns lhe property or is buying under a conVaU.
If buying on conLad. Fee Simple owners name
Remrders olfica where wnVact is recorded
Record number � Page
� y^ � Tox ship � Ta�ing dislrict (dry, fown, fownship)
�J W i�:;�
Parcel numb¢r ��� �^ OO L� description �!— ��� �0 I Is Ne Property nRea�DropeM ❑ Mobile Noma (/.C. 67./-�
"� O .7C b
If any poAion af the resiEentlal sWCWre p the Wnd nd exceeding one (7 � aae that immediatey wrrounds that swcture is used to produce income, dewibe the use and portbn
of Ne property utiiizetl lo produce iMOme.
�_- l�-aG-/ao-oo�. ���-Q��
f-a-a°�3
� ��`��'�"''�� �' �'�`��µ"r'� � � � �"TRUEcTAXr�� ASSESSEDVACUE . OMESTEAD�` � � �A a
,��`� �'ASSESSOR USE ONLY� �'£ � �Si' e'�, NON=RESIOENTIAL� �
'^�'���y�l�r.�'g"'��:=_���`+°� ��VALl1E.�.-�'i'.�� hATq700°�_OFTTV� �. ,'�'.VALUE,��"� ����"'�+�YALUE k'+:r �"u
ar.'.,r a �-...�A�r..�� .�'�L
Land not exceeding 1(one) acre immediately =���'-���5 1,=:' ^. �iF
surrounding residential improvements. (�� � � ��� f��rMi.t'�r�'�'Yi
Other land (Z) Fu. ,;���.' �' ��'-� �.�
H
....�.�sy. �.A:.,�lc-_", ;-'
Total land (line 1 plus line 2) �3�
- r c . � .,��.r �. :
Dwellin 4 *•;"c ��'�-� �'"�$s�` ;���j
9 ( ) �'`.d,��e�4�1{i!��r' •4s^�1`!�`i�.'�iXS.t,�y
Residentiel impmvements or Annually - ° �
Assessed Mo6ile / ManufacWred Home Garage �5) � + c i,:, .�-,�SR��*.�,u+'��
'�.'�,a+�_''. ,,:�.�`�i'k�,d�,�
Other improvements 6 % ������ �' 3
() �r� x
. �x:t;�;�
Tdal improvements (line 4 through line 6) (�)
Tdal value (line 3 pl�s line n (8�
I hereby certify Ihe above is We, torreG, and Signature of Assessor Date signed
complete.
Verirymig adion - Sgnature olAuditor Date sgned
S�i �'�'..��r<4�Fi��3'�,i,'y.-'�.��'�;��.i'STANDARU�DEDUCTIONALCOWANCE".,,_v.''�..-`�.r,�`.��i�v'"��r�f�:a�+���_ i�'r'E"i''!i5.�s```_�"'=�
20_Pay20_ .
Lesserof 1/2 Homestead 5
vauanon w 535.000
Sgnature otlwditor � Date signed