HomeMy WebLinkAboutHomestead_Taylor (20)�. .,.,,
,� � CLAIM FOR HOMESTEAD PROPERTY TAX
i� CREDIT/STANDARD DEDUCTION
State Form 5473 (R2 / 5-92)
�� ��i
INSTRUCTIONS: See reverse side loi liling instructions.
FORM
HC10
�
YEAR
... . . . , . . RTt CATivnaw�cmen�., � -- - -. �
I(We) . certity that he 7st day f M h, 19
�e) occupied ur principal place oi residence the follow described real property tor which a Homestead Pro Tau C � e� Gai
I(We) owne ❑ Are buying under comract !31980N U' V �U�i��
❑ Have a beneficial interest in the entity that is liable for the property taues on ihe property and thai owns the property or is buying under a contraci.
� � � . . CONTRACT�RECORDED r .> ' ,s-:�:, . :_a.,_a.-...
If buyirg on contrad. Fee Simple owner's name
Fecortler's oftice wliere contract is recorded Record number . Page
Counry
If any
ot the
� o- Township
)
r Legaldescription
ot ihe resitlential struaure or ihe IarW not exceeding one (1) aae
y utilized to produce income.
. . - . ;.o:.... -
i . _ . 2 . _ ,. _ . ..'.. . .
/d ��{-//
surrountls that strucmre is used to produce income, describe Ne use and portion
- PROPERTY OWNED BY CLAIAIANT IN OTHER COUNTIES �- ��
Counry • Township Counry Township
reby certiry the above statemenis are true, correct and complete. Sgnamre daimam
AtltlreQss /(n�um(b/e�r arrd street. dty. sfate, ZlPoode)
(` /�Y"� 7 I� vSr Y �i✓"GC .? ✓/ 1
. - .ASSESSORUSEONLY . TRUETAX ASSESSED HOMESTEAD . NON-RESIDENTIAC.. ��,
- - VALUE VALUE VALUE � �VALUE �
Land not ezceeding 1(one) acre immediately � � - --
surrounding residential improvements. (�) � � - � �
Oiherland (2) � -
Total land (line 1 plus line 2� (3� �
Dwelling (4) � //_�/`'/''�U � v� ��/�J , �
Residential improvements �a /, [LYI�- ,� . .
Gara e �,(� ���� � �
9 (5) " o, ���� \ � .
v��� �
Oiherimprovements (6) �/ �/p�i
���.-
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line 7� (g)
I hereby certify ihe above is true, correct. and Signature of Assessor Date signed
complete.
'�'ntyiig attion - Sgnature of Auditor Date sgned
19_Pay19_
Lesser of 1/2 Homestead
Valuation or $2,000
Signature
$
■
e
I
_� � —