HomeMy WebLinkAboutHomestead_PenningtonCLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
t Stata Form 5473 (R6 / d-03)
Presaibed by the Department of Lorai Govemment Finance
INSTRUCTIONS: See ieverse side for fifing insfixJions.
W
AIT ':
FORM YEAR
c�o
APR 5 2007
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1(We) u.v — �� .,�,p�. P�C— certify that �n��ray �ularc,ph, 20
,1,�(W/e) occupied as our principal place of residence the following described real property fo hich a Homestea�P��py��d(t ���oyRdaimed:
CI I(We) owned ❑ Me buying under coniract
' Have a benefidal interest in the entity that is liable for the property taxes on Ihe property and �hat owns the property or is buying under a contract.
if buying on conVad, Fee Simpie ownefs nama
Rewidefs ofice where conVacl is recorCed
�.�t�tt�:;.a/�iYYt�'P�:i.+l;F.�a �.L�k'A4Y
Counry Township
Parcel numher Legal descnpti
tb-�a-o3-�m-000.�.J.�- �4 �T E GJ 3- -�
I( any portion of Ne resiCenUal sWCture w Ne land not a:ceeding one (1) acre Nat immediater,
ot the property utilized to produce inwme.
County
Tavnship
I hereby certify �he above statements are W e, correcl and complele.
(num6er eiM sfreet cit}; s(ate, ZlP code)
dislrict (ciry, towq fawnship)
Coun�y
Record number � Page
the proyerty in question:
7A � Real proparty ❑ Mobile Homo (/.Q 6�1.1-7)
ids lhat sWUUre is used to protluce income. describe tha use and portion
� �l7 �e �
�`�'�� '�'�`„ ��`- ��` ' � *U"'"TRUE TAX�' v� ASSESSED VALUE. �HOMESTEADa` �-�} N N;�RESI�ENTIAL�"'�t�
�h?-��+I�SSESSOR USE ONLY � �L!Z�� t �� .�,t�
-v..X.,p��,' ��,�,�•Y+i,��x�,£'�,�.,`�'�����VALUE��,t�y./1T100%OF'TTV����VALUE��:�������''-l�VA1.UE����.f%2
�*-..-.�- r..sa C.- � r.l
Land not exceeding 1(one) aae immedialely � -��" °�u�<"`
�» �4� �� +`�' '��`�"'�•�
surrounding residential improvements. .�{�,� �,�� _ �.;;,
�; ��=r�Y��=
Other land `�`�L` �
�2� :��j;� ��:�
Tdal land (line 1 plus line 2) (3)
�- z ��=- ,�,� • �v'�f_: ^
Dwelling (4) �-�^+ c-- `s'a.. � �
'���,i°�����-�
�ResidenGal improvaments or Mnually �
Assessed Mobile / Manufaclured Home Gara e ' ."$�� -�=jn Y"� �'�'
9 (5) ��i � Y . �3r., `�s�
..�:;. s. r:.W_ . �
i- iY zy j
Other improvements 5 �.�;iT�=���`.�
( ) _fi .�� t+.r
..==Y _ FC3t�..,,
TUaI improvemenis (line 4 through line 6) (��
Tdal vatue (line 3 pLa line n (g)
I hereby certify �he above is We, coned, and Signature olAsseswr Date signed
complele.
Verifying action - Signature otlwdiWr Date signetl
20_Pay20_
Le>ser of 1/2 Homestead
vguauon a 535.000
S
Signature otlwtlflor ' I Date signed