HomeMy WebLinkAboutHomestead_BrickleyCLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
Sfete Fam 5t73 (R611-03)
Presaibed by tne Departmerrt of Lxal Govemment Finarwe
INSTRUCTIONS: Seere`eressW RxBirpiniburb'�m�e.
1I,V \� FORM
� HC10
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i (we) �l�v��l T— — , --'— � � � liyl/��S
I(We) occupied as our principal piace oi residence the following described real property for which a Homestead
❑ I(We) owned ❑/ve buying under contract �
, Have a benefidal inlerest in the entlty that is liable for the property taxes on lhe property and Nat owns trte'F
:- ��� ��`.�' .�`� +��,�'��c�:,�•'ar3' ik`"� CONTRACT'RECORDEDst'.."Yi.;.`e�'�v,z•,�r'?�°:'�"'�
If buying on conVap, Fee Simple owners name, ._ , . •
Recorders olfim where contrad is recorded
YEAR
lsl1day�QKAarch, 20_
c Credit is hereby daimed:
Record number � Paqe
V Tamship Tacing disUict (dry, fo , fown
i num /� ^ Legal tleSCripUon Is the pm i ti n:
SP�operty ❑ Mobile HomBI/.C. 67.1-�
portia� o/ Ne residentiat sW ca�re w the land nd exceeding one (1) acre Nat immediatey wrrounds that swcWre is used N praduce income, tlescribe ttie uu and portion
property ulif¢eA to produce i�ome.
�AZ
20_Pay20_
Lesser of 1/2 Homestead
_ VHyayon Oi f35.000
$
Date
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