HomeMy WebLinkAboutHomestead_Patel.R, �
c� ', CLAIM FOR HOMESTEAD PROPERTY TAX Fp YEAR
}'�':� CREDIT/STANDARD DEDUCTION � HC
.�:;��� State Form 5473 (R2 / 5-92) � � �
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INSTRUCTIONS: See reverse side Ior7iling instructions. �v � 0�978 '
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� � CERTIFICATION STATEMENT ' , �
�) (✓'V � ce a e���t19y'of March, 79�
i�..e) occupied as our principal�place of residence the following described real property for which a Homestead Property Tax Credit is hereby claimed:
❑ 1(We) owned ❑ Are buying under contract ,
❑ Have a beneficial interest in ihe entity that is liable for ihe property taxes on ihe property and thai owns the property or is buying under a contract.
� � CONTRACTRECORDED� � � .
It buying on coniract. Fee Simple owner's name � - � -
Recorder's oHice where contract is recordetl Record number Page
PROPERTY DESCRIPTION
Couniy . . I Township I Taxing di5frict (city. fown, township)
legal descnption
P� N�.J- �1-�-11 9 .So/�c,
It any ponion of the residential SlmcWre or the land not exceetling one (t) acre that immetliatey surrountls that struciure is usetl to produce income, describe ihe use and portion
of the property utilizetl to protluce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES �
Counry Township Couniy Township
� ,
�eby certify the above siatements are true, correci and complete. Signa�en�o f cl ' ani
L.
Address (numberandsrreet, ary, state, ZlPwde) •
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not ezceeding 7(one) acre immediately .
surrounding resideniial improvemenis. (�)
Oiherland (p)
Total land (line 7 plus line � (3)
Dwelling (4)
Residential improvemenis
Garage (5) _
Oiher improvemenis (6)
Total improvemenis (line 4 through lina � (7)
Total value (line 3 p�s line � (g)
I hereby Certi�y the above is �rue. Correci, and Signature of Assessor Date signed .
r�mplete.
�g action - Sgnature ot Auditor Date signed