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Name: Mailing Address: Physical Address: PIN # - AFFIDAVIT OF HOMESTEAD EXEMPTION I, the undersigned claimant, have reviewed my property record card in the presence of an Employee of the Liberty County Board of Assessors office, and do solemnly swear that all taxable real property is identified:that I actually occupied same as my residence on January 1 of the year in which application is made; and that I am an eligible applicant for the homestead exemption applied for. Sworn to and subscribed to before me this I HEREBY ACKNOWLEDGE THAT I AM SIGNING THIS APPLICATION IN THE PRESENCE OF A MEMBER OF THE LIBERTY COUNTY ASSESSORS OFFICE. I ALSO ACKNOWLEDGE THAT I HAVEN BEEN GIVEN REASONABLE NOTICE THAT THERE WILL BE A PHYSICAL INSPECTION OF MY PROPERTY. Homestead Claimant Approved by Board of Tax Assessors Tax Receiver/Commissioner IF THIS APPLICATION IS DENIED, THE APPLICANT MAY APPEAL. SUCH AN APPEAL SHALL BE MADE IN THE SAME MANNER THAT OTHER PROPERTY TAX APPEALS ARE MADE PURSUANT TO CODE SECTION 48-5-311. APPLICATION FOR KEMP, DELOACH, WILLIAMS TAX RELIEF ACT