HomeMy WebLinkAboutHomestead_Wright (9)�.f^�R
e! " q CLAIM FOR HOMESTEAD PROPERTY TAX
sa��= CREDIT/STANDARD DEDUCTION
� State Form Sa73 (R2 / 5-92)
'ieiY
INSTRUCTIONS: See reverse side lor liling insfructions.
FORM YEAR
- HC10 �-1�
e) �QS(.�.Q�__W� ce i o th�1 st oi March, 79�
(:) occupied as our principal place of residence ih tollowing described real property for which a Homestead P� Ui�by claimed:
I(We) owned ❑ Are buying under�contract
Have a beneficial interest in the entity ihat is liable for the propeny taxes on the property and that owns the property or is buying under a contraci.
. CONTRACTRECORDED � . � .
If Wying on tontracl. Fee Simple owner's name .. ' ' ' , ' ' .
Recorder's oHice where comraci is recorded Record number Page
Couniy
Parcel number
—MJ1ll—
It any ponion of
of ihe propeM �
itlential stmcmre or the IaM not
�o O�oduce income.
PROPERTY
one(7)aae
lown.
n'rx-// (j,l.� /7 (x�..
surrounds that swcture is used ro produce income, describe the use and portion
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding t(one) acre immediately
surrounding residential improvements. (� �
Oiherland (p)
Totat land (line 7 plus line Z� (3)
Dwelling (4)
Residential improvements
Garage (5)
Other impmvements (6)
7otal improvements (line 4 through line � (7)
Total value (line 3 p�s line 7� (g)
I hereby certify Ihe above is irue, correct, and Signature of Assessor oate signed
complete.
��y action - Signature of Autlitor Date signed
19_Pay19_
Lesser ot V2 Homestead
Valuation or S2.000
SignaWre of Audi'�.
_� '
STANDARD DEDUCTION ALLOWANCE
5