Homestead_Brown���"�� i CLAIM FOR HOMESTEAD PROPERTY TAX
s•�'� C.REDIT/STANDARD DEDUCTION
� '� State Fortn SC73 (R2 / 5-92) ,
an
INSTRUCTIONS: See reverse side for7iling instructions.
�� , ��
H� � � J�ti,�
AUG Ol 1996-
+ ���1p U
� �We) _� _ _ _ _ _ _ _ certify that on 9he ist��ppcprn79
��) occupied as our pri cipal p, residence the f winq described real property for which a omesiead Property Tax Credit is hereby ciaimed:
❑ I(We� owned ❑ Are buying under coniract
❑ Have a beneticial interest in the entity that is liable for ihe property �azes on the property and that owns ihe property or is buying under a contract.
� . CONTRACTRECORDED �
It Wying on contract, Fee Simple owner's name � �
Rewrder's oHice where comract is recorded Record number Page
Township
Parcel number Legal de<.
�D�-�3iD0•OU �
If any ponion of Ne resitleNial stmaure or Ne land not
of ihe properry utilized ro produce income.
PROPERTY DESCRIPTION
Taxing di5trici (city, fown. tOwnShip)
�ivw ,�o�-r�� �.vvn`
one (7) aae Ihai immetliatey surrounds thai strucNre is used to produce i�ome, describe Ihe use and portion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township Counry Tawnship
��eby certify the above statements are ime, correct and complete. '9 amre ot claimam In`'
lY �
Address (number and sireeL ciry. state, ZIP code) `
a� �%^• .
ASSESSOR USE ONLY . TRUE TAX ASSESSED HOMESTEAD NON-RESIDEN'fIAL.
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvements. (�)
Otherland (p)
Total land Qine 7 plus line 7� (3�
Dwelling (4)
flesidential improvements
Garage (5)
Other improvements (6)
Total improvements (line 4 through lina � (7)
Total value Qine 3 pLs line � (g)
I hereby certify the above is true, correci, and Signawre of Assessor Date signed
complete.
��9 action - Signature ot Auditor Date signed
�
STANDARD
19_Pay19_ I
Lesser of i/2 Homestead
Valuation or 52,000 S
..�
SiniE RQ.N f] Y1 tR: /:011
MROYFD BT ]T.�T£ BMYOOf AICDITl5.Hq4
TRFAS�RFRiCftA1TSIA
R i L\.l' C£ K 41.1.' •.51
Individuals and married couples are limited to one homestead standard deduction. r1s the receipt of this
deduction becomes more beneficial, there is more incentive than ever for homestead fraud. Homestead
•fraud causes higher tax bills for all; therefore, HEA 1344-2009 requires taspa}'ers who receive the
homestead standard deduction to verif}� that thep are eligible to recei��e the benefit and to provide
additional indentif}'ing information necessary to allo��• county government to better monitor homestead
tilings. This information n�ill be kept confidential and can only be accessed by authorized county officials.
The Department of Local Go��ernment Finance �vill use this information to create tools that «�ill help
county officials eliminate homestead fraud.
orty Address (number and st¢e4 <itY, sWte,
� �3 � �.� S�
Parcel Number �
�?/ - /�.5 - .'S� . //t�� _
��
and
I�umber (IaSI i
city, smm, and ZIP code)
(Number and sveet, city, state, and ZIP code)
/�
�lJ
�/�
5 dfgits) �Drivers Licertce/State IU \umber Qaz[ i
ni�aaie
e
�
,•
0 2013
cisso�uNrv`�`� o,T�
� Same u pmperty address
in Part 4 yelo�r)
� Same az property address
undersiened certifies, under penalty of perjun�, that the above and foreeoing information is true and cortect and that he or she is
de to recei��e the homestead standard deduction on this propem•. Each undersigned also understands that, by claiming additional
stead deductions unlawfully, he or she may be liable for back taxes and substantial financial penalties.
� �� -
( )
1`�V �P A-� � � ✓