HomeMy WebLinkAboutHomestead_Mahoney„..,.,�
e/-� °, CLAIM FOR HOMESTEAD PROPERI'Y TAX
s;���; CREDIT/STANDARD DEDUCTION
�`' z State Fortn 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side /or liling instructic ns.
FORM
HC70
'i�'ii�I
: �i:i .
I�) _ y that on ihe 1s ch,
� ied as our principal place of residence the followi desc ibed real property for which a e tead Property Tau it i h b
i(We) owned ❑ Are buying under conirac� ['���Q�'(�p7
. ❑ Have a beneficial interest in the emiry ihat is liable tor the pmp any taxes on ihe property and that owns ihe property or is buyln�4ehd� �co1J�lt.
- ' � ” � � ' . � � . C ONTRACT RECORDED � �
It buying on contraa, Fee Simple owner's name � G�BSON . U y q1101TOR
Recorders oHice where comract is recordetl � qecord number Page
�
�- `�` PROPERTY DESCRIPTIO - - � �
County. ' . Township I T3ring distrit (ary !o � wnshi '
r . 'mber0 _O Legaldescription � .
�
It any pomon of Ne resitlential strucwre or the land not exceeding one (1) ai re that immediatey surrounds that simcture is used to produce income, describe Ihe use and portion
ot ihe property utilized to produce inmme. -
u
PROPERTV
Counry
�by certify the above statemenis are ime, correct and
Adtlress (number arrd stree7, city. slale. ZIP code)
�'2 r. . i c � . a�. .� /i J �.
ASSESSOR USE ONLY
Land nm exceedinq 7(one) acre immediatety
surrounding residential improvements.
Otherland
Total land (line 1 plus line 2� .
Dwelling
Residential improvements
Garage
Oiher improvements
Total improvements (line 4 fhrough line b]
Total value (line 3 pUs line �
I hereby certify the above is true, correct, and
complete.
�i�g action - SgnaNre ot Autlitor
a
19_Pay19_
Lesser of 1/2 Homestead
Valuation or 52.000
(ll
iz)
(3)
(4)
(5)
(6)
l�)
(8)
BY CLAIMANTiN OTHER
ofASSessor
S
ot
ASSESSED
VALUE
HOMESTEAD
VALUE
�
NON-RESIDENTIAL
VALUE
Date signetl
Dare signetl