Homestead_Taylor (16)da rt��
aa °. CLAIM FOR HOMESTEAD PROPERTY TAX
���'� CREDIT/STANDARD DEDUCTION
�;;�� State Porm Sd73 (R2/5-92)
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�eTi
INSTRUCTIONS: See reverse side !o� /iling instructions.
- -� ' � � . ��� � CERTIFICATI
FORMI YEAR
�� J
MAY 4199.'•
� (We) � 7`—' // � . ` '�L�Ftlf �ay'of March. 19
�e) occupied ur princip lace ot residence the following described rea operty for which a Homestead x redii is hereby claimed:
I(We) owned � ❑ Are buying under contrect
❑ Have a beneficial inierest in the entity ihat is liable for the property tazes on the property and Ihai owns ihe property or is buying under a contract.
- CONTRACT RECORDED
It buyinq on contraG. Fee Simple Owner'S name .
Recorder's office where contraa is recorded Record number Page
Counry
Parcel number
DO(�
If any portion o
of the properry
to
� PROPERTY DESCRIPTION ' � � � � - �
Township Tartirg district (city, town. fownship)
Legal description
>-p - - 3
structure or the land not exceetling one (7) acre that immedia;ey surrounds that struciure is used to produce income, desaibe the use antl portion
�ce income. .
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES � �� �
Counry Township County Township
reby certify the above statements are true, correci and complete. Signamr�,er a� an2
\
ddress (number and streeC city, sfale. ZIP wde) '
= ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
.. VALUE VALUE VALUE VALUE
Land noi exceeding 7(one) acre immediately
surrounding resideniial improvements. (�)
Otherland (p)
Total land (line 7 plus line 2� �3�
Dwelling (4)
Residential improvements
Garage (5) '
Other improvements (6) �
Total improvemenis (line 4 through line � (7)
Total value (line 3 pbs line � (g)
I hereby ceRify the above is true, torreCt, and SignaNre ol Assessor Date signed
complete.
�tyiig action - Signature of Auditor Date signed
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