HomeMy WebLinkAboutHomestead_Heaton�,e rt�, t CLAIM FOR HOMESTEAD PROPERTY TAX
a. CREDIT/STANDARD DEDUCTION
�< Slate Form Y773 (R2 / 5-92)
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INSTRUCTIONS: See reverse side lor liling instructions.
FORM YEAR
HC10
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I(We) occupied as our principal place of residence the follovring described real property for which a Hom ead Pro�T�c c�d, it i re daimed:
❑ I(We) owned ❑ Are buyin9 under contract G/� C.,�J?T4 AUDI�
❑ Have a beneficial interest in the entiry that is liable for the property taxes on the property and that owns the property or is buying under a contraa.
If buyiry on contraci.
owner's name
is recorded
-PROPERTY OESCRIPTtON
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RecorO numher Page
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Counry Township Tazirg distria d ro � /
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P el nu r Legal descriptio
�D � D/7�� -Oc� � OC / Ci' �/ I �� �. �.' %� �
If any portion of Ne resitlential siructure or the land not exceeding one (1) acre ihat immediatety surmunds thai swcture is usetl to produce inwme, descnbe the use and ponion
ot the properry utilizetl to Drotluce irwome.
� ASSESSOR USE ONLY . TRUETAX ASSESSED HOMESTEAD NON-RESIOENTIAL•��
� � VAWE VALUE VALUE . VALUE �� �
Land nm exceeding 1(one) acre immediately � . �.
surrounding resideNial improvemenis. (�) - � �
Oiher land (2) �.� p � �
Total land (line 7 plus line 2� (3)
Dwelling (4) � _ • �
Residentialimprovemenis . �'�
Garage (5) �
Oiher improvements (6) �
Total improvements (line 4 through line � (7)
Tmal value (line 3 p�s line 7� (g)
`=reby certify Ihe above is We, correCt, and Signamre of Assessar Date si9netl
�plete.
Ventying action - Signature oi Autlitor Date signed
19_Pay79_
Lesser of 1/2 Homestead
Valuation or 52.000
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