HomeMy WebLinkAboutHomestead_Young (13)��'��� g CLAIM FOR HOMESTEAD PROPERTY TAX
�� y r 4
;��1� CREDIT/STANDARD DEDUCTION
.�.(� State Fortn Sa73 (R2 / 5-92)
ieu �
INSTRUCTIONS: See reverse side /or (iling instructions.
FORM
HC10
YEAR
� s 9�
� L:{�0(� .�. ��U'r' �-� � �' �.��� - certify Ihai on the 75l day of March, 19 9�
I(We) occupied as our principal place of residence the tollowing described real prd�!O�s�i"cF��nestead Property Tax Credii is hereby daimed:
�� mp+r� �
�✓ I(We) owned ❑ Are buying under coniract ,� 7'N G� ����� g�
❑ Have a beneficiai interest in the entity that is liable for ihe property taxes o� ro y�Q e property or is buying under a contract.
w11B�o�
� - CONTRACTRECORDED - -
If buying on con;raa, Fee Simple owner's name . . � - �� �
Recorder's oHice where coniract is recortletl Record number Page
PROPERTY DESCRIPTION
County . Township � � laxing tlistrwt (ary. lown, townsnip) � , �
6«3s Pa7-oic/� .
Parcel number Legal description
006-o�,�a6�-oo 'PT niE - /6 -,2�-io
I( any ponion ot the residential stmaure or the land not ezceetling one (t) acre ihat immediatety surrounds ihat sWCture is used to produce income. describe the use and portion
of the property utilized to produce income.
' PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township Counry TownShip
�eby certify ihe above slatements are true, correct and complete. Signature of � am ^ .
%%i
Address (num6erandstreel. dry, state, ZIP e) '
/1 ��3 o.c a� 3 2•.v c c ro ,.r =N `f76 70
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediately
surrounding residential improvements. (�)
Otherland (p)
Total land (line 1 plus line 2� (3) �
� Dwelling (4)
Residential improvements
Garage (5)
Other improvements (6) .
Total improvements (line 4 th�ough line 6� (7)
Total value (line 3 p�s line 7� (g)
1 hereby certify the above is tme, correGi, and Signa;ure of Assessar Date signed
te.
��g anion - Signalure of Autlitor ' Date signed
19_Pay79_
Lesser of 7/2 Homestead
Valuation or 52,000
STANDARD DEDUCTION ALLOWANCE
S
� �'y y���., �
� _ _' . / ~ � �✓