HomeMy WebLinkAboutHomestead_McGillem�a v��
a °, CLAIM FOR HOMESTEAD PROPERTY TAX . FoRM 1'EAR
;r���: CREDIT/STAtdDARD DEDUCTION riC�O
� State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side lor /iling instructions.
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I(We) Y I '. ' � . certiy.ihat on the 7st day 'o1f Ma7rch, 79
�e) occupied as r principal place of residence ihe following described real property Por which a Homestead Pmper�� � �yg�eby claimed:
,_, I (We) owned ,❑ Are.buying under contrad . , ., �
❑ Have a beneficial interest in ihe entity ihat is liable for the property taxes on ihe pmperty and that owns the �perty oFic�iy��e ra�ptr�t.
. � . �- � CONTRACTRECORDED - - -� ' - . '
It buying on coniracL Fee Simpie owner's name . �• ' `� -
Recortlels oHice where wntract is recorded Record number Page
PROPERTY DESCRIP'fION
Township'
_ . �—ic�v �-c�:i��,
Parcel number Legal descripC
ol���-oao�9 oa - �1G�.2e �3 .
tl any ponion of the resitlential strucmre or Ne Wnd not exceeding one (1) acre that immetliatety wrtountls thai swc[ure is usetl m produce income, describe the use and portion
ot the pwperty utiiized ro produce income.
PROPERTY OWNED BV CLAIMANT IN OTHER�COUNTIES � �
County TownShip Caunry Township
-�reby certify the above siatements are true, correct and complete. Signanre ot daimam\
`(`(� e
Address (number and street. ary. state. ZIPWde)
� \ D j-%'1 Ca "t 0
ASSESSOR USE ONLY TRUE TAX. ASSESSED HOMESTEAD NON•RESIDENTIAL
VALUE VALUE VALUE VALUE
land not exceeding 7(one) acre immediately
surrounding residential improvemenis. (��
Otherland (2)
Total land (line 7 plus line 2� (3) I
Dwelling (4) � �
Residential improvements
Garage (5)
Oiher improvements (6) . -
Total improvements (line 4 through line 6j (7)
Total value (line 3 p�s line 7� � (g)
I hereby certify ihe above is irue, correci, and Signature of Assessor Date signed
complete.
Verityirg action - Sgnawre of Auditor Dare signed
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STANDARD
� 19_Pay79_
Lesser of 1/2 Homestead
Valuation or 52.000
$
Dare sig� _ � _ � � I
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