HomeMy WebLinkAboutHomestead_Moody (5)a��' "'� i CLAIM FOR HOMESTEAD PROPERTY TAX"
i��'; CREDIT/STA�EDARD DEDUCTION
r State Form Sa73 (R2 / 5-92)
�> '
�au .
INSTRUCTlONS: See reverse side for /iling instructions.
I (We) 1 Y ��,liC/1� '
') occupied as our rincipal lace of re nce the following�described real propertuli? which a Home�
(1 '�JJ
�, (We) owned ❑ Are buying under contraci F� �
❑ Have a beneticial inierest in ihe eniity thai is liable for the propert axes�n the property and that owns
� � - . � - CONTRACT RECORDED � ..
If brying on contract, Fee Simple owner's name
Recortlefs offite where comract is recorded
FORM YEAR
HC70
q� ppp . r�
ia n•th§ 1E1 d�yfi�lMa�,�99_
.�I
'operty �ax �redit is rc2r y�laimed:
� NOV 0 � 1997 .
�oertv or is buvinaunder.a�contraci.
number
, - . .. .. _ I . � I .
� " � PiiOPERTY�DESCfl � - �
Cou � Township T�ing � rict (crty, wn, rownship) - . � .
Parcei �umberOO^ � �� L °+ 5 . _. - a -. � �, � a� -
y y
If any portion ot the residenlial strucNre or the IarW not exceetling one (7) acre that immetliately surrounds that sWCture is used to produce income, describe the use and portion
oi Ne pmperty utilizetl m produce inmme.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES ��
County Township Couniy Township
���by certify ihe above statemenis are irue, correci and compiete. Sgna��a ci �mant �
Address ( ber and sbeet. iry, sfare. IP code) ( %� / '� �
� / �fJ
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTtAL
VALUE VALUE VALUE , VAWE -
Land not exceeding 1(one) acre immediatety ,
surrounding residential improvements. (�) ��
Otherland (p)
Total land (line 1 plus line � (3) �
Dwelling (4) � -
Residential improvements
Garage (5)
Other improvements (6) �
Total improvements (line 4 through line � (7) � �
. Total value (line 3 p6s line 7� - (g)
I hereby cenify the above is true. correci, and Signamre ot nssessor oare sgned
camplete.
Verityirg aaion - Sgnature ot Audiror Date signed
�
19_Pay79_ .
Lesser ot V2 Homestead
Valuation or 52.000
DEDUCTION ALLOWANCE
5
�' Q nG� � l i�� 4 ,��0 s�� � I 1