HomeMy WebLinkAboutHomestead_McRoberts (2)�y.E n`I)� '
a"°v CLAIM FOR HOMESTEAD PROPERTY TAX
;��� CREDIT/STANDARD DEDUCTION ;
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,� State Porm 5473 (R2 / S92)
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INSTRUCTIONS: See reve�se side lor /iling instructions.
FORM YEAR
HC10
��e��](j�,�al��� .4 �}-,l.V�'-' �_4t�L�:�a� certifythatonth�f�ch,�
oc�,ied as our principal place ot residen ihe fo�lowing descn ,,, w ich a Homestead Property Tax Credit�l �lT;� ^5
'� (We) owned ❑ Are buying under contraci .
❑ Have a beneFcial inieres� in the entiry ihat is liable for the property taxes on the property and that owns the property or is buying under a contraci. ,
. CONTRACTRECORDED �
It buying on contract, Fee Simple owner's name , . ' � ' _ . � �
Recorder's oHice where comract is recorded Record number Page
Counry
Parcel number [
�54'�J
If any portion of Ne resitl
of Ihe propeM utilaetl ro
PROPERTY
town,
3��k�Ai SF 5-a-10 a.oa �{C
strucmre or the lantl noi exceeding one (1) acre tha� immediatety surmunds lhat struc[ure is used to produce income, tlescribe the use and ponion
ice inmme.
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VAIUE VALUE VALUE
Land not exceeding 1(one) acre immediately .
surrounding residential improvements. (�)
Otherland (p)
Total land (line 7 plus line Z� (3)
Dwelling (4) � �
Residential improvemenis
Garege (5)
Other improvements � . (6)
Total improvements (line 4 thiough line � (7)
Total value (line 3 p�s line � (g)
I hereby Certify the above i5 �rue, COrreci, and Signature ot Assessor Date signed
complete.
��ying action - Signature of Auditor Date signed
19_Pay79_
Lesser of 1/2 Homestead
Valuation or S2,000
AutlR
�—
STANDARD DEDUCTION ALLOWANCE
S
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Date