HomeMy WebLinkAboutHomestead_LogsdonCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Stete Fam 5173 (R6 / M3)
ReacADeO by 1M Departrm�n d Lncel Govmnment Finarke
INSTRUCTiONS: See �e�arp ti6 blYYp iu6uctiont
FORM YEAR
FIL,
��e) � ��' tt}� e 1st day of March, 20
I(VJe) occupied as our pnncipal place o residence the followin descri ed real property for whict�aHo�este�Pr�ge Credit is hereby daimed:
❑ I(We) owned ❑!ve b 1es c�uN oR
uying under contract
❑ Have a benefidal interest in lhe entity that is liable for the property taues on the property and that owns the property or is buying under a contract.
If buying on coniraq, Fee Simpie ownefs name
Recorders otfice where conVact is recordeO
If any
of ihe
County
—�(/oC�UJ
Township
descripGon
udentiai sWCWre w the land nd
to produce i�rcome.
I hereby certify the above statemenls are W e, conect and complete.
(number arM sfreet, ciry, slafe, ZIP cade)
> �5 �RE��nJLEF
Ta�ing disMct (ciry, tawn,
Couniy
RecoM number �Page
al Dropery ❑ Mobila Homo (I.C. 6/.1-7)
is used b produce income, describe Ue use and portion
7
Twvnship
���n �'"-��.�'�a"�� 't:",zw�`.. �- w�-a�.�. ,,.�,v,,,. ,y� - -r
i-'` r -�ASSESSOR'USEONLY.�`��rz��1�4T��UE ��� A 00%OFTIV � H�VALUTE ��,�-�N�ESfUEl��L��
�-�''`�;.�`$aL�":.Ti'��..'a�.z `L."B3:?"�,:�ir'.'4.i�. -"S�` �. i*'-.�.t'�.,.__.....�?.0 ;t�..��.. ,. -r.�i..,.. � .'�*.�'r........�.,r`X`;T�. mt _... � VALUE
Land not exceeding 1(ona) acre immediatety �'3��«�,",r��� �.�*,`��,
surroundingresidentialimprovements. (�) ��� ".�'.,�a�,�+jT��-F`
Other land (p) M,-�°--.` �����'� �
.1�"��.�.'i�*.x'a4
Total land (line 1 plus line 2) (3)
, '�•+:-� � �.r �- . • � „�.� 1
Dwelling (4) �� �����'� ��`�rj.��
�Residential fmprovemenLs or Mnua�y r'�';�� '��''�"y"�"`'��
Asmsaed MohOe / Manufact�rad Home Garage 5 a����` �"� ' �
( ) �`n%s�-����s���°��°� U
Other impravements (6) �' � "'����Y
�`��
Tcial improvements (line 4 thmugh line 6) (�)
Tdal value (line 3 plus line � (g�
I hereby certi(y ihe above is We, corted, and Signature otAssessor oa�e sgnee
complela.
Venlyirg adion - Sigreture of Fwtlimr Date signed