HomeMy WebLinkAboutHomestead_McRoberts,.,.^,,
e� -" °� CLAIM FOR HOMESTEAD PROPERTY TAX
_��'� CREDIT/STANDARD DEDUCTION
.�.;��� State Porm.5473 (R2 / 592)
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INSTRUCTIONS: See �everse side /or7iling instructions.
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�) l�/�'u�+' �" •�> � . - certify thai on the 7s7eayWamwt�. Y9 �
e) occupie s our principal place of residence the following described real property for which a Homestead Property�Ta�c Credii is hereby daimed:
I(We) owned ❑ Are buying under contract� . � .
Have a beneticial interesi in the eniity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
� � CONTRACTRECORDED �
If buying on contracl.Fee Simple owner's name , -. � � .
Recorder's oHice where wntraa is recorded Record number Page
Counry
y.
PROPERTY
lI'iw `�
Parcel number � �� Legal des�ff�yr� ._ ) � �^� -' O �) � � � .
e��0' I � ��il� N
If any ponion of the resitlential strucmre or the land not exceeding one (7) acre that immediatety surrounds ihat simcture is used �o produce income, describe ihe use and portion
ot Ne property utilized ro protluce income.
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land no� exceeding 1(one) acre immediately
surrounding residential improvemenis. ' (�) '
Otherland (z) •
Total land (line 7 plus line Z� (3J
Dwelling (4)
Resideniial improvements
Garage (g)
Other improvements (6) I
Total improvemenis (line 4 through line � (7)
Total value Qine 3 pbs line � (g) '
I hereby Certify ihe above i5 Irue, Correct, and Signa,ure ot Asseswr Date signed
mplete.
�,ying action - Signature of Audimr Da;e signed
79_Pay19_
Lesser of 7/2 Homesiead
Valuation or 52.000
SignaWre ot Auditor
STANDARD
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