Homestead_Wallacee��� g CLAIM FOR HOMESTEAD PROPERTY TAX
a��;: CREDIT/STANDARD DEDUCTION
�' � State Porm Sa73 (R2 / 5-92)
�m• .
INSTRUCT/ONS: See reverse side (or liling instiuctions.
.
1 i 1 ���
� - ; ;� :�}
� � �
YEAR
I(we) Vl.1Tt V F� )�i- �1l �,J'�3._7` A J l# 1`Il �LVI i Y` [�`"�'eeRifq-4rR e-tst-�y�March, t 9
�) occupied as our principal place of residence ihe following described real pmpeny for.�which�a HOittest��ad�Property �aii�r'eaRis ereby claimed:
U I(We) owned ❑- Are buying under cnntraci -
❑ Have a beneticial interest in ihe entiry ihai is liable for the property taxes on the property and that owns the property or is buying under a contract.
- - = CONTRACTRECORDED . � . ' �
It b�ryirkj on contraU. Fee Simple owner's name . � '
Recorder's oflice where contract is recorded Recortl number Page
Counry
Parcel number
�
If any portion of Uu
ot the properry utili
� - PROPERTY DESCRIPTION ' � - ` �� �
' � SownsNp . � . S�ing tlistrict (6ty, rown, fownship). ' '
Legal tlescri ti
�. .
;idential stmcture or the land not exceeding one (11 aae that immediately surrounds that stmcWre is used to produce income, describe the use arW ponion
to produce income. .
- � PROPERTY OWNED BV CLAIMANT IN OTHER COUNTIES " �� '
County Township Caunry Tovmship
�eby certity the above statements are true, correct and complete. Signa[ure Iaimani
Address (numberandsbeet, dry. slafe. ZlPCOde)
�
ASSESSOR USE ONLY . TRUE TAl( ASSESSED HOMESTEAD NON-RESIDENTIAL.
. VALUE VALUE VAWE VALUE �
Land not exceeding 7(one) acre immediately .
surrounding residential improvemenis. (�) ��
Oiheriand (p) �
Total land (line 1 plus line 2� (3)
Dwelling (4) �
Resideniial improvements .
Garage (g) � �.
Oiher improvements (6) •
Total improvements (line 4 through line � (7)
Total value (line 3 pUs line 7� �g)
I hereby Certify ihe above is irUe, correct, and Signature of Assessor Date signed
complete.
�tying aaion - Signature of Autlitor Date signed
l
STANDARD
19_Pay19_
lesser of 7l2 Homestead
Valuation or 52,000
S
Sgnature of AWitor I Date signed I