HomeMy WebLinkAboutHomestead_DurbinCLAIM FOR HOMESTEAD PROPERTY TAX
CREDR/STANDARD DEDUCTION
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Rasmbed by the Depertnmrt d Lonl GovemmerLL Finance
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r� FORM YEAR
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I(V'�e) (/, ,��V C�()L ��W /��� certiry that on the 'IstdaY`c�'MSzh. 20
I(We) occupied as our principal place ot residence Ihe following descnbed real property for which a Homestead Pw�� ��c- �r�e�d�l fs�h�t��Fl�yned:
❑ I(We) owned ❑!ve buying under contract �
, Have a benefidal interest in lhe entity that is liable for Uie property taxes on Ihe property and �hat owns lhe property or is buying under a wnUact.
If byvg an conVad. Fee Simple ownefs name
Recordefs ofice where coniracl is recordeE
Tamsltip
Legal
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N any portion of Ma resitlential sWCWre w tl�e W W not 9
at the property uLlizeO to produce irimme.
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County Tavnship
7acing disVict (tlty, town,
Is the
i
one (1) acre ihat immediatety wrtoun �
o - ooa.�9-0�5�
Y,OWNED��� BY.CLAINUINT�IN;OTHER'COi
Coun�y
I hereby certi(y the above statemants are W e, corteG and complete.
ciry, state. Z!P code)
7
Record number � Page
al property ❑ Mobile Homa (l.C. 6/.1-n
is used b produce income, desaibe the use and portbn
20_Pay20_
Lesser of 1/2 Homestead
vaueum a f35.000
$
Ti 1 lT li" :T� a�
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