HomeMy WebLinkAboutHomestead_Potter� CLAIM FOR HOMESTEAD PROPERTY TAX
����+ t CREDIT/STANDARD DEDUCTION
,�x1�w��.�' State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See ieverse side !oi /iling instructions.
A
YEAR
�I�i o �
AUG 17 1998
I(We) I 4 � U oL1 ,,...� � .CErtifj?�rdGbhVhe-Y'st day'BYMa'i�h.`79_
I(We) occupied as our principal p ace of residence ihe tollowing described real property for which a Homestead Property Ta�c Credit is hereby daimed:
� I(We) owned ❑ Are buying under contract
� Have a beneticial interest in the entity thai is liable for the property taues on the propeny and that owns the property or is buying under a contraa.
. . . _ ... CONTRACT RECORDED - :. c. `_... r - <., , . . ,
If buyirg on contrad, Fee Simple owner's name
Recordefs oHice where contrad is recortletl Recortl number Page
Parcel number
��4 -C
If any ponion ot
ot ihe pwperty i
Township
Legal descnption
PROPERTY DESCRIPTION - 8 - � � � -
ia<i�distria (ciry, rown, township)
udenual struc[ure or Ne IaM noi exceedirg one (7 � aae that immediatety surtounds that siructure is used to produce irKOme, tlescribe ihe use and portion
lo prodUCC intOm2.
PROPERTY OWNED BY CLAIAAANT IN OTHER
p Counry
I hereby certiry the above statemenis are hue, correct and complete. I SiN m� of
(number aM steer, ary, sfate, ZIP wAe)
0
� /
Township
ASSESSOR USE ONLY �. TRUETAX ASSESSED MOMESTEAD NON-RESIDENTIAL- .
, _ VALUE VALUE VALUE . . VALUE � �
Land not exceeding 1(one) acre immediately - - ����
sunounding residential improvements. ��) � �
Otherland (2) _ � � �� .. �
Total land (line 1 plus line 2� (3�
Dwelling (4) � � � ` .
Residential improvements . _ .
Garage (g) . .
Other improvemenis (6) �
Totai improvements (line 4 lhrough line � (7)
Total value Qine 3 p6s line 7� (g)
I hereby Certify Ihe above i5 irue, Corrett. and Signature of Asseswr Date signetl
complete.
Veritying action - SignaNre of Autlitor Date signed