HomeMy WebLinkAboutHomestead_RegenerCLAIM FOR HOMESTEAD PROPERTY TAX FORM Y�
CREDIT/STANDARD DEDUCTION Hc�o
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Prescribed by Ihe DeparUnent of Loral Govemment Finance � 1 y'
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INSTRUCTIONS: See reysrse side for filing ins6uc6ons.
� M�e) °" '�' " �` certify tl�at on the 1 st day oi March, 20_
1 e) oaupied as our prindpal place of residence the folbwi described real property for which a Homestead Property Tmc Gedit is hereby daimed:
(We) owned ❑ Pre buying under contract
Have a benefidal interest in ihe entiry Nat is IiaWe for the property taxes on the property and that owns fhe property or is buying under a contraG.
N Wiyuig on oontrecl, Fee Simple amera rmme
Recpderc af6ce where crntrad ie recorded
Caunry � Tamstup � Tain�di�ric�d(Y,dGw^. fownsNP)
Record number � Pape
Parcel number Legal descnpUm s Ihe m Uon:
� �property ❑ Mobile Homa (IC 6-7.1-n
If arry pwlion of ihe res'iderNal sWCWie or tha land not �ceedirg one (t ) acre Ihat immediatety rtounds that re is used lo produce inwme, descnbe Ihe use aM ponbn
of Ihe property W Gzetl N Produce inwme.
a�-a�-��-aro-�. 1�3-oa ��
._ . . . .. . ,
,. .
Land not exceedrg 1(orre) aae immediatety � � ' '�
surroundirgresidentialimprovements. ��� � �
OtherWnd (y) :.:>��,��, -
Tdal land (line 1 pfus 1'me 2) (3)
�-:
Dwellirg (q) � .. ' : �
Residential vnprwements or Mnually
Assessed Mobile / Manvfactured Home � � � �. - -
Garage �5� -
.: :-�4.,.,.. ., - - �
Oiherimprovements (6) ±ry;.;''.':�:�i;'i -�'i
TUaI improvements (fine 4 fhrough lirre 6) �7)
TUaI value (line 3 ples lirre n (8)
I he2by certify �he above i5 We, corred, ard Signature ofASSessar Date signea (rmnth, 0ay, yea�
canplete.
Vairying adion - SignaWre oflwtlitor pate signed (monN, day, yea�