HomeMy WebLinkAboutHomestead_Hibdonr; CLAIM FOR HOMESTEAD PROPERTY TAX FoRM � YEAR
� CREDIT/STANDARD DEDUCTION �� �
♦ ♦ Sia�e Porm 5373 (R6l F-03) �
Prestri6etl Oy lhe Departmen� of Local GovemmeN Flnancc
INSTRUCTIONS: See revcrsc side lor lilinq inslruclions.
,�1'-fti -:: ._. :'., a a �_'r-.: -� -r� _ r� �. :. : -: -_ � - CERTIFICATION STAlEMENT� ' - . '. ..
1 j�n (�� � 1
I M�e) I a 1� j'(1 ��CY g� ls �01�� ��1 T'C� !`C�J .�. .' certi �( � j�Q day�of MarU, 20 .
, �
1(We) occupied as our principal place of residence the following described real property for which a Horil�Q��t Tac dit is hereby daimed:
� I(We) owned ❑ Are buying under contract Y AUDI70R
� Have a benefidal interest in the entiry that is liable for the properry taxes on Ihe pmperty and that owns the property or is buying under a conVact.
If 6uying om m�Vaa, Fee Simple mvnefs name
Recordefs o(fice where canVact is recorCed
Counry
Parcel number
n°y_
If any portion ol
o( the OmOeM i
to
�RECORDED " .
�
Record number � Page
` -'.`.�''- :r",��-':-� `PROPERTY �ESCRIP,TION��- .:.•. • ' _ - ^ - - .
Tawnship T� g Cistrict (dty, town, tow�nshliP)
V
Legal description Is t�e property in quesUon:
�_ _ p� Real pro0erty ❑ MoDila Momo (I.Q E7J-7)
sWCmre w the land not ezceeding one (1) acre that immediatety surrounds that s Uure is useG to produce income. desuibe Ne use antl portion
ce inwme.
`�3� �~� "AS$ESSOR�l1SE�ONLY�. � � , TRUETAX ASSESSEDYALUE "HOMESTEAD�'� - NON-ttESIDENTIAL`�, - -. ;
:?�,L�_��s.�.:. �r ..°s.t:�.,w:, . VALUE AT100/.OF�,TTV � ' VALUE �- '.'=i:VALUE,;-.
Land nol exceeding 1(one) acre immediately \ -- ,. �
surrounding residential improvements. (�% . - ... �
Other land (p) � - . .
Ttlai land (line 7 plus line 2) (3�
Dwelling (4) � � '.. `;.,'.� . .. •� ..
ResidenUal improvements or Annually '' ' �` �"���°"�'�"�"'�'' � `�� '��
Pssessed Mobile I Manufactured Hane Garage (5) �� �� -. --
.. `' .>_ .' .
Olher improvemenis (6)
Talal impmvements (line 4 fhrough line 6) (7)
Tdal value (line 3 phs line n (8)
I hereby certify the above is We, correct, and Signawre otqsseswr Oaie signed
complete.
Velifying aclion - SignaWre of Autlitor Dale signed
�:. si����' �� -,`>. ;.. ' � = ..STANDARD.DEOUCTIONALLOWANCE-.�.�:�� .. � , - - � ..
, � � 20 Pay 20�
Lesser of 1!2 Homes:ead � .
v�uauon or 535.000
S
SgnaWreotAuditor " Datesignetl