HomeMy WebLinkAboutHomestead_Prattee�^R� CLAIM FOR HOMESTEAD PROPERTY TAX FORM NEAH
}��!' CREDITISTANDARD DEDUCTION HCio
�� State Form 5-73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side for liling instiuctions. 1}{1 � i I� .' i.-, }� 1 J
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CERTIFICATION STATEMENT �. �Rr � ���.��
dVt`s b'� -°'-
I IWe) certify ihat on the 75t day of March. 19�
'� occupied as our principal place of resitlence the following described real property tor which a Homestead Propertv'Te�Cr�t is�tieretiy claim6d:
`'` ITOR °
I(We) owned ❑ Are buying under rAntratt AU�
Have a bene:`:ciaf in;erest in ihe entity that is liable for the property taxes on the pmperty and that owns the property or is buying under a contract.
CONTRACT RECORDED
If buying on coniract. Fee Simple owner's name
Rxortler's oH�ce where contract is recortletl Rewrtl number Page
Coumy
Parcel number
It any porLOn ot t�e residen;ial stmcwre or the Wntl
ot the pmpeny utiiizetl to protluce income.
PROPERTY
fown. ;ownship)
one ( 71 acre tha� immediately surwunds that strucmre is used to pmduce iriwme. tlescri6e ihe use antl portion
ASSESSOR USE ONLY TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
ILand not e*ceeding 7(one) acre immediately I I �
surrounding residential improvements. (' �
Otherland (p)
Total land (line 7 plu5 line Z� (3) I I
Dwelling (c) I I
Residen�ial improvements
Garage �5)
Other improvements (6)
Total improvements (line 4(h�ough lina b) (7� I I I
Total value Qine 3 pbs line � (8) I I
I hereby cenify the above is true. correct. and Slgna:ure o� Assessor I Date signeC
complete.
Veri;ying action - Signature af Auditor Daie signetl
�
19_Pay19_
Lesser of �/2 Homestead
valuation or 52.000
Signature o� Audim�
STANDARD DEDUCTION ALLOWANCE