HomeMy WebLinkAboutHomestead_Mabrey`� �"'" CLAIM FOR HOMESTEAD PROPERTY TAX
. STANDARD / SUPPLEMENTAL DEDUCTION
S � State Fortn 5073 (R12 / 649)
�O > Presui6ed Dy Ne Departrtrerrt of Loral Goverm�en[ Firerce
INSTRUCTIONS: See reverse side lor filino instmctions.
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� � M'e) , certity that I(� b�L � (our) principai
place of r dence or am (are) buying the followinq described real property for which Homestead Property Ta{� ndard Deduaio he eby daimed
�under co d on ihe date this applO L�i(are)dbuying under recorded contract (date o/filing): _"'SON COUNTY qUp�T�R
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Am (are) entilled to occupy as a tenant-stockholder of a cooperative housing corporation
� Have a beneficial interest in the Wst or the right to occupy ihe pmperty under the tertns of a qualified personal residence Wst
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If buying on contract, Fee Simple awnefs `ume .
, Remrdets ottxx where mntraG is remrtlec Rcmp ruimber Pa9e
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County Tamshi0 Ta�g ' ('. Mwn, fownship
Parcel nu r �P� - Is Ne perty in Question:
' Rea� property ❑ AnnuaOy assessetl mobile homa (IC Gf. f-�
11 any ponion of Ne resdenilal sWCW re or Ne IaM not exceedirg arre (1) aae that meEia � t�at sVUCNra is used m proEUm Inomie, desmbe Ihe use and portion
� W the 7�PenY u0T¢ed ta protluce u�mme. �
��-/� 3�-c3�o- ���. � aay
... . . : . .
Counry 7ownship ' CaunN ' TownsNp
I hereby cenify ihe above statements are true, cortea and complete. Sigre�u i daimant , �
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� Pddress(n r sfree � ta,andLPcotle (
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Land not exceeding 1(one) acre Immedialety �� �>;��a;�'�- r� ,'^° ."�'i�: "' $'�
surtoundin residential im rovements. (�� �c.� �; .y�����:i _��
• Other land (2) �'�'�°�.�'��'' �
-,w. -^-.�`'-s�''i..d3t '
Total land (line 1 plus line � (3) '
ResldenUal improvemenb orAnnually �����9 (4) ��+'� s.& �; i��E � ��
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Auessed Mobik I Manufacwretl Home Garege (5) �'"^��-`y'� r`",;�r��'"��'}�"�.'^c� ��v;
�'::�r�' � i��`ni�'.�5,.'���k��
��mv._.._
Other improvemet� (6) ;��= �`�-`�?
- x ._5 ��'�i.-^..
Total Improvementa (llne 1 Nroug� ltne � � (7)
Total vatue (llne J plus line 7) (8)
I hereby certity the above is true, cortect, Sigrature ofAUessor Date sgneE (month, day, yea�
and complete.
Vaitym9 action - S5nahrte ol Audcw Date sigrreC (monN, daY. Y��)
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ZO _ pay 20 Lesser of 60% oi the assessed value of the homestead or $45,000 ..
NoMilhslarMug anY oR+e�Grovisbn. Ne sum o/fhe tlMUrtians provideAin IC 6f.1-121a a mobde home �hat U $
not essesseE es ieal property w(o a menufacNred hortie thaf is rm( assessed as reel property may rwt exceed
one�hel/ (1Rf W the assessetl velua W Ne rtp6de �ome or manNaGUred hwne. � �
SigraWre otAUdkor ' Date sipned (imnth, day, yxa�