HomeMy WebLinkAboutHomestead_Doanei����` rt�� y CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
,�` �' State Form 5473 (R2 / 5-92�
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INSTRUCTIONS: See reverse side lor (iling instructions.
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FORM
HC10
YEAR
j�:�'�ci� 4� (.�.e� �iOc?ik.e , ; - � . ., �� . � _
I(We) certi� thahon the 7st day of March, 19_
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I(We) occupied as our principal place of resid ce the following described real property for which a Homestead Property Tar Credib,' ereby daimed:
�%-C-('�-�!vf:i$7�„�'„",[� —
r] I(We) owned ❑ Are buying under coniract �" GIBSON G��7*�TY f.1�0. •'_ ��
' Have a beneticial interest in the entiry that is liable for the property taxes on the property and thai owns ihe property or is buying unde� a contract.
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.. CONTRACT RECORDED . ;. � , . .. .. . ' ,.. . - �. .,,, .. , . . . a ,. .
Ii Duying on contracC Fee Simple owner's name
Recorder's oHice where cantract is recorded
Township
P�e! ��rO� �d 7—W I Legal det
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Ii any portion oi the resitlenfial sWaure ar the land not
of the property utilized to produce income.
Retord number � Page
PROPERTYbESCRIPiION ' ' � -� �- � = ' �
Ta�cing dist �d ry, f wn, town5hrp)
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one (1) aae that i mediatety surrounds iha[ swc[ure is used to produce income, deuribe ihe use and portion
ASSESSOR USE ONLY - TRUE TAX ASSESSED HOMESTEAD _- . NON-RESIDENTIAL'. �:
. � VALUE VALUE: VALUE " VALUE ��
Land not exceeding i(one) acre immediately , � �
surrounding residential improvements. (� � I � � � -°�
Oiherland �p) � _
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Total land (line 7 plus line Z� (3)
Dwelling (4) . - � .
Residential improvements � . - -
Garage (5)
Other improvements (6) �
Total improvements (line 4 through line � (7)
Total value (line 3 p6s line � (g)
I hereby certity ihe dbove i5 IrUe. Correct, and Signamre of Assessor Dare signed
complete.
Verityirg action - Sgnature ol Audimr Date sgned
19_Pay79_
Lesser of V2 Homestead
yaluation or 52,000
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