HomeMy WebLinkAboutHomestead_Hunt (13)��.�o
a g CLAIM FOR HOMESTEAD PROPERTY TAX
z:��;; CREDIT/STANDARD DEDUCTION � _
�,,� • State Portn 5a73 (R2 / 5-92)
ui. ^
INSTRUCTIONS: See reveise side foi /iling instructions.
0
�;a = �'��, � s��� �
DEC 2 9 1997
�e'-;1st day�6t(MHrdi. 19_
-e)yccupied as our principal place of residence ihe following described real propeny�for which-a Homestead Property Tax Credit is hereby daimed:
�I (We) owned ❑ Are 6uying under contract - _ , - .
❑ Have a beneficial interesi in the entity that is liable for the property taxes on the propeny and that owns the property or is buying under a contract.
_ - • - - . CONTRACT RECORDED � -.'� . `
If buying on contract, Fee Simple owner's name � � � � '
Recorder's oflice where contract is recortletl Record number Page
Counry
Township
Parcel nu 6er Legal tlescripti
���-�b1 S �%,( . �a�" /
It any portion of the residential sirucwre or ihe IarW not exceeding one (7) acre that immediatey surrounds that
of the property utilized to produce incrome. ,
9
is used to produce income, describe ihe use and portion
- - PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES �� -
County Township County Township
�eby cenify the above statements are true, correci and complete. Signa:urg;af Gaiman2
.J�
Address (numbe�andstreeG ciry, sfafe, ZlPcotle)
Iw�C.C�
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL
. VAWE VALUE VALUE VALUE -�
land not exceeding t(one) acre immediately . �
surrounding residential improvements. (�) �
Otherland (Z)
I
Total land (line 7 plus line 2� (3) .
Dwelling (4) -
Residen�ial improvements , .
Garege (5)
Other improvements (6)
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g�
I hereby certify the above i5 Irue, corrett, and� Signa,ure ot Assessor � Date signetl
complete. .
�ryug aaion - Signature ot Autlimr Da;e signed
STANDARD
19_Pay19_
Lesser of 1I2 Homesiead
Valuation or 52,000
5
Sgnature of Autlitor � Date signetl
�