Homestead_Turpin (6)�a_,�3
a/= °„ CLAIM FOR HOMESTEAD PROPERTY TAX
E CREDIT/STANDARD DEDUCTION
i' �
,�p ,,;�� State Form Sa73 (R2 / 5-92) �
,.,. •
' INSTRUCTIONS: See reverse side Ior filing instructions.
� � � - � ' CERTIFICATI
.l . . ' . � � �./1'76. W �
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�P� 41994
STATEMENT
YEAR
�
e) Q_� f�A� �,L - ,/i( .QCe�if}) that on the 7 st day of March. 79
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.e) occupied as our principal place of re idence the following described real property tor whic�omestead Property Tax Credit is hereby claimed:
❑ I(We) owned ❑ Are buying under contract . •-
❑ Have a beneficial interest in the eniity ihai is liable for the pmperty taxes on the property and ihat owns the pmperty or is buying under a wniract.
s�_ . CONTRACTRECOR�ED � , - .
It buyirg on contrac;Pee Simple owner's narne � � - . � � . � •
Recorder'S oftice where contract is recortled Record number Page
Counry
Township
Pa�rel number I Legal descripuon /1 �
� �_—�j1433=c� � 1 r y �
If any ponion oi the resitlential simcture or the land not exceeding one (t) acre that ii
ot the property utilized to produce income.
. F..". . _ i .,.
_ ` .
7own,
� •. . .
that stmcture is used ro produce i�ome. descrihe Ne use and portion
ASSESSOR USE ONLY . THUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VA�UE VALUE- VALUE VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvemenis. (�)
Other land (p�
Total land (line 7 plus line Z� (3)
Dwelling� (4)
Residential improvemenis
Garage �5) . .
Oiher improvements (6) ,
7otal improvements (line 4 through lina � (7)
Total value (line 3 pUS line � (g)
1 hereby Certify the above i5 �rue, CorreCt. and Signature of Assessor - Da;e signed
complete.
��ying action - Sgnature ot Audiror Date signed
79_Pay19_
Lesser of 7/2 Homestead
Valuation or S2.000
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ALLOWANCE
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