HomeMy WebLinkAboutHomestead_Maikranz (3)�° CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
�� CREDIT/STANDARD DEDUCTION HCio
State Form St73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side for liling instructions.
. . � � � � e -r � � � ' ' � - ' -_i:CERTIFlCATION STATEMENT' ' �, :�•-v -"`
I(We) � certity t t arCh. 79_
I(We cupied as our principal place of residence the following describe eal property for which a Homestead PropertnX Tan �C1r it��{y�{eby daimed:
I(We) owned ❑ Are buyin9 under contract �Q 1 �- �S-Cj� �"� 1� ��
� Have a beneficial inierest in the entity that is liable for the propeAy taxes on the property and that owns ihe Q(oberty or is byyin�nder a�nir�i.
buyirg on conVaa, Fee Simple owners name
lecorder's oHice where contract is reCOrtletl
Counry
to
Township
- �PROPERTYDESCR
Tazing
- +e. ,., � - a �u_: "
FecoN number Page
- . .. .- . ;.�°'- . � �.
or the IarM not exceeding one (7) aue �hat immedia:ey surmunds thai s[rucNre is usetl to protluce income, describe the use antl portion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
p Counry
I hereby certify the above statements are true, correct and complete.
�'dress (number arrd sveet ciry. sfate, ZIP code)
iJ.. i/n _ .�.[ iJ _ .�J'.� /7
. � � ASSESSOR USE ONLY ' �
and not exceeding 7(one) acre immediateiy
surrounding residential improvements.
Oiher land
Total land (line 1 plus line 2�
Dwelling
Residential improvements
Garege
Other improvemenis
Total improvemenis (line 4 through lina �
Total value (line 3 p�s line 7�
I hereby certity the above is true, correcL and
complete.
Venhrifm action � Sionature of Auditor
TRUE TAX
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(Z)
(3)
(4)
(5)
(6)
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SignaNre of Assesmr
ASSESSED MOMESTEAD' - NON-RESIDI
VACUE VALUE �. ��VALU!
'..' n ., � _•. � .
Date signed
Date syned
� STANDARD DEDUCTION ALLOWANCE`" : -7�.• � '
19_Pay79_
Lesser ot 1l2 Homestead
Valuation or $2,000 �
Sgnature of Audiror Dare signetl
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