HomeMy WebLinkAboutHomestead_Pauley (11)�� O�n��R `_._._ . _ . .
a/' °s CLAIM FOR HOMESTEAD PROPERTY TAX
sa�•: CREDITISTANDARD DEDUCTION '
.�.,;�� State Porm Sd73 (R2 / 5-92) �
%i�.
i � INSTRUCTIONS: See reverse side !or tiling instructions.
� � � -,". �CERTIFICATII
M YEAR
�H�A I
� � APR 1 31993 �. .
'�-.h-QGl u ) . � �.�-a � Q . I�Q�..�Q.�� 4� T� o .
e) � cetlify that on e ls ay of March, 19�
__) occupied as our principal place of r sidence the followin esaibed real property f which a Homestead Property Tas Credit is hereby Gaimed:
I (We) owned ❑ Are buyin�r����� �, , . � _ , . , .
Have a beneticiaFinteresi in the entiry ihat is liable for ihe pmperty taxes on ihe pmperty and that owns ihe property or is buying under a contract.
' - - CONTRACTRECORDED - '
It buying on ContracC Fee Simple owner's name .• . .. . � ' -
Recortler's oHice where coniract is recorded Recortl number Page
PROPERTY DESCRIPTION
Counry 7ownship •• � - - Taxiry tlistrici (
Parcel number legal descriptio
O i°� - -a0 . �
If any ponion ot the residential structure or the land not ezceeding one (7) aae ihat ii
o( the pwperty utilized to produce income.
rownship) •
...,.�.�-� -
wrrounds iha[ struqure is usetl ro produce iraome, describe Ne use antl portion
PROPERTY OWNED BY CLAIMANT IN OTHER i
Township Counry -
' �'
� certify the above statements are true, correct and complete. anre o( ciaimam
(number and sveet dry. siate. Z(P code)
ASSESSOR USE ONLY
Land not exceeding 1(one) acre immediately
surrounding residential improvemenis.
Other land
Total land (line 7 plus line Z�
Dwelling
Residential improvemenis
Garage
Other improvemenis
Total improvements Qine 4 through line �
Total value (line 3 p�s line �
I hereby cenify ihe above is true, correci, and
complete.
`�g action - Signature ot Autlitor
TRUETAX I ASSESSED
VALUE VALUE
(�)
(Z)
(3)
(4)
(5)
(6)
1�)
(8)
Signature of Assessor
DEDUCTION ALLOWANCE
HOMESTEAD ( - NON-RESIDENTIAL
VALUE VALUE
Date signed
Date signed
19 Pay 19 _
Lesser ot V2 Homestead "
Valuation or 52.000 5 �—� _ �- �
— ' . �.' + = � —