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Home My WebLink AboutHomestead_TribleCLAlM FOR HOMESTEAD PROPERTY TAX FoRM � CREDIT/STANDARD DEDUCTION HCto smm wm, ssn �rs� i sa� Pra�bed by Ihe Depertrtienf of Lool Gorermierrt Finanm INSTRUCTIONS: See reverse side fw fiiing in�ns. <s,. . :��, _ . . ��, -•. .. ? �:: c . . ,. .:.. �"�v • .... ° -^�• �. �. ...._:'.. �,'xa CH2TII-1CA710N STAlE11FNTs. F, , .� : ` i.�' Y.1e�--,� F w.. {r�'pi n• y i ;. , . . . .._. _. _ ... _., .r,... ..;�. �. I1(YVe) . .. .. certify �fh�a�t �on� 2Uie 1y/g��/ Match, 20_ I(We) oocupied as aa dpal plafc res" ihe toBowirg desu�ed real property for which a HanesOead wtopia'ty��mc GYd'�t"is heieby daimed: I M/e) owned ❑ Me under mntrad � Have a benefidal m9erest m the entily Ciat is liade 6w Me property faxes m Ne popaty and Cat ams tl�e pr�r�i"� is bu '� under a contraeL ..« . a .- � �. `. . �i...� _ ;. s %�.t. �,). a. .t�:.. CON7RACT RECORDm::li c. . _.YP. �' \. - S' �p... i �f � x „{'�JV Frk, .t- .� k. ;ii. h .iv� '�f„ .J_ ,'r�i: �, . . . ... . . ,_.. , . ..:.. . .. . .. ,_ .. ..,.... ,...� . n bll)TIB M�'X�. FBB $IR�B ONTIBl6 �I8fI1B F�mrdefe d6� Were mNNe�1 �s racarded Rewd numher Pege •c� ,i.?'n ��:, � . - ra >� �x' • PROPERTY..DESCRtPT70N:`.. -?*� 7�.,c3 �`'' F Q.. '7'�., u.. .�? r�4a'-i . x. ... .. ..., ,� � , ... ,.,, ., .. � . . � . . .�. ... . . .:_. . ..._. Cany Tnmship Tamg di9rie (ciy, �n. twmship) ' nari6er � Lepal d�aipBan Is U�e p'oparty o �rye�ion: � O S � Real praperry ❑ Mabib Hortie (I.C. 61.1-7) � N ery portion ol tha residential struWae aI the lantl nal mccee�rg me (1) aae tliat'sm�dalely aman� tl� �ic4ia ia uaed b proMce nmme, dea�be the m and pntion d Ne pmperty iAi(�d b prodtce vim'a. � V�� +' � *� r � �:�" S d�_a+t,." �,l''.::''r.n3;+.PROPFiiTYOWNED'BY:CLAOIANT'd�OTHH2COUNTgS,,,g'�,-.; ' ,�?�abe.:�:c,Y.'''�'..�z.t ct .d:-:,:i ..... i y, ....Fisi�ixt'Y.3n.i�,.:N Counly Tuvnship• ' ' Counry - Township I hereby oertify 9ie abwe sfa6ert�aits me true. mrracf �d cmylefe. re d dai (nuriber mid �ee{ dry, s�. ZlPaaee) tr ;. .- 'svR/ i� TRUE.TAX ASSESSEDVALUE �H01�STEAD �-- r�'NON�ilE51DQiML`'*'�`� +� f+ p$$FSSOR USE OMLY � jt ��'� ei�� i , ?AT 100X OF TiV t�.• VALUE � ��+�` >[ µ:�' . a•• �,� . r � , . ,.:; r ,.,. � Y/1LUEi :-L� ,,,cVALUE � .+ �.:w. . ��..; ,. .:, �...'- � ,e. ._.,.. � !�:. 1.. _. ... �. ..,_.: ..�.;L_, .....a_k:� .�,.+rt�.,r.. ..ra';T'> ski.,,.a;A �. Land not e�ng 1(one) aae irtn�ada6�iy :�'.��°ttf{�iiN,)s�,r�r �4*�. 35�'� s�araaid'eigresidentialirt�povemenb. (�� ,rit'�i��;��'��+��•��'�^�� . e .:" r 1-�n'r*, . Olhef 18r1d (2) r. ; � ;h%J x � ,..r..r.+'t:t ° TUeI land (l'me 1 pku lote � ig) � �r ��"a.S �i �a4?w. � �<21,i�� Residential imprweneMS orMm�aly ��9 �4) `�l �g _t� „l�!'� .vi�..�"..�..�""5��.¢; AsesSed AlCdle / Marw�Yed Fbrt�e ,r, � �Y¢�.s �`�t1 i'� °`'�»�'�.�T �' � j� r�_ �' fi"� -� t, 4� � �� 55 �r-i�'•�� tt� d�...'i��lE 1 � / � Other impoverr�ents (8) - c�; F,s - i .��.,,,•r..:t .�: rr. Tdal vnptwanerNS (fire 4 WaR, f� 6ne 6) i7) Tifal value (!'vre 3 pda Gne � �g� I�y certiy the above is hue. cared. and SiB�ve ofAsamsw Date ag�ed mnp�le. Vaiyi�g actian - Si�m¢ne of Au�fv Dete eipiwd � .;: : ��; „� „1�,,'�,��4.�.;SVWDARD'.DEDUCTIOtl�A1:L'OYVAMCEYb`zii:i!rt'� r ..�4.?t.,,;,�x.,}.';.;•;v`�';�.i�v�.?`t`e�'.xFS;•)< 20 _ Pay 20 _ Lesser ot 12 Hortestead Valuation ot 535.000 f Si�4ve otAUd� Dste cipned