Homestead_Spindler (10)CLAIM FOR HOMESTEAD PROPERTY TAX
-'� " CREDIT/STANDARD DEDUCTION
\ � Stata Fam 5473 (RS / 10-01 �
���� PresaibeC by the Department of Local Govemment Finance
INSTRUCTIONS: See 2verse side /or filing instructions.
FORM YEAR
HC10
3-z�-aa�o
I(We) �F certify thal on the 1sl day of March, 20_
I(W upied s our prindpal place ot residence lhe following des ' ed real pmperty (o ich a Homestead Property Tac Credit is hereby daimed:
I(We) owned ❑ We buying under contract
Have a benefidal interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a wntraU.
I( buy'u�q on conVaq, Fee Simple ownefs name
Remrdels ofice where conVad is recoMed
County - Tonnship
Par�'ce�/l �number/ �+� L e.
W 'lJ ll ��{!
N any ponion a( Me resiEentlel struchire w Ne land nd
ot the property utilrzed tn praduce irrcome.
Record number
Ta�ing
Page
��p� � I ls the Property in esUon:
�eal property ❑ Nbb�e Homo (I.C. bt. f-� .
exceeding one (1) aa�/ el immedis�wr�u� s thaQtiwcWre is used W produca inoome, describe ihe use and portbn
�
� ✓ —`L.
3-D�S
i`5�.�t�^���_�'���1�:�'�,,..",�'�"'PROP.ERTY,OWtJED';BY;CLAIMAlIT,IN,'OTHER'CUUNTIES r�'.a�}, n.��•'��`-_'���5'��`�S�-. '�_�,^r�"�
County Tawnship County Tavnship
I hereby certity the above sWtements are W e, cortect and complete. Signature ot davnant
�dreu (numbe s t, � fe, ZlPCOde) �a 3
,v. {3 �}"��"-���'���`�°� V�'�f -� ���y �T,RUE-,�T�AX � a �ASSESSED�VALUE �xHOMESTEAD� �"�� NON3tESI0ENTIAI �
��, p ����.��n���Y, t �� ��,�_WLL:UE '"AT.�100%'OF�TfY� ��VALUE�� �� �.��VALUE`x'
S t��i�Y'[ s� 'T'J���� �v +� �-i-.r..a. �g^2�
Land nol exceeding 1(one) acre immediately � x�`'�" �� '� ��
9 P (�� ��i �'��,�� s"��i��',���
sunoundin residen6al im rovemenfs. �-n xa
Other land (y) ��" �"��'�'c� ���
1
�£���
Tolal land (line 1 plus line 2) (3�
ci � .,r �'-
Dwelling (4) ��. � ���,� � '
Residential imprwements
Garage (5) ��� � i �"-�.��
- x;�
Other improvements (6) a`'�,�r�. +�.c%�
�:� �
TUZI improvements (line 4 through line 6) (7)
T[!al value (line 3 phs line n �g�
I hereby certify �he above is We, carrett, and Sgnamre ofASSessor Date sgned
complete.
Verifyirg action - Signature otALdiWr Date signetl
��?�-.>. s-..n��M�4';..'f=-�1-�i�.�'�"`-ati�*'.�`�.ri=ST1.WDAR�:DEDUCTIONALCOWANCE�'._`�,-�„� a�`'"�.� .9��&•a�u>'"..�'.� ".`'��'�i��'��`'ne��`_`�'.�<r.�`�=°"_�.�-_'
20_Pay20_
Lesser o( 12 Homestead
Valuation or $6,000 g
Signatureof/WEitor " Datesqned