HomeMy WebLinkAboutHomestead_Osborne� '
y rt�� 2 CLAIM FOR HOMESTEAD PROPERTY TAX
a� CREDIT/STANDARD DEDUCTION
State Fortn Sa73 (R2 / 5-92�
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INSTRUCTIONS: See reverse side 7or filing inshuctions.
- � � ��- . - - - - � : � � - -.•:�CERTIFlCAT
FORM YEAR
HC70
i�weJ Y I' 1--Ui 1 I certify that on ih��ds� qt n�� ts_
I(We) occupie principal place of residence ihe tollowing described real property tor which a Homestead Property Tan Creart is here �daimed:
�(We) owned ❑ Are buying under coniract �%(� �(/ n���
lave a beneficial interest in the entity that is liable tor the propeny taxes on [he property and that owns the prkrieky�or�isbuy��mg� �
/c
It buyirg on contren, Fee Simple owner's name
Recorder's oflice where mntract is recordetl
Counry
P I n r Legal de;
r� �as�3-�
If any ponion of Ihe residential strudure or ihe IaM not
of i�e property utilized ro protluce income.
i .-:.`:.' CJO;'-PFV si;pITOR
� _ CONTRACT RECORDED _�;- - � ' - -- � r�>
Recortl number Page
- .PROPERTYDESCPIPiION� � .. �'- �. s, � � '�r._'. -� . _ .
Tazing disirict (dry, towM1 wn ip) � L..
one (t) aae
Counry Township
I hereby certity the above statements are true, correct and complete.
�
'lesq(numberarMSVe�f,ary„s7pte.ZlPCOde) � .
[�is used to produce income, desuibe Ne use and ponion
OTHER COUNTIES
Township
- ASSESSOR USE ONLY � � TRUE TAX ASSESSED HOMESTEAD� . NON-RESIDENTIAL. �
, - � VALUE VALUE VALUE VALUE �- .
Land not ezceeding 1(one) acre immediately � ��
surroundingresidentialimprovements. (�) � - - �"
Oiherland (2) ' � � " ,
Total land (line 7 plus line 2� (3)
Dwelling (4) . : '
Residential improvements
Garage • (5) � � '
Other improvements (6) �
Total improvemenis (line 4 through line � (7)
7otal value (line 3 pUs line 7� (g)
I hereby certify the above is true, torreCt, and Si9nature ot Assessor Date signetl
complete.
Ventyirg aaion - Sgnamre ot Auditor Date signed
19_Pay19_
Lesser of 7/2 Homestead
Valuation or $2,000
3
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Date etl
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