HomeMy WebLinkAboutHomestead_Pyle (3)ER�
a� � CLAIM FOR HOMESTEAD PROPERTY TAX
i,��'� CREDIT/STANDARD DEDUCTION
�;�;� State Form Sa73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side lo� /iling instructions.
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�,�Ne) P�l �.rl � J� Q�± F 4c4- ► l/� V(.N�.JC� �+�jPPi.a7lhe�dey a
�:) occupied as our principal place of residence ihe follo �n described real perty for which a Homestead Proper���0�hereb���:
❑ I �We) owned ❑ Are buying under contract . � �
❑ Have a beneticial interest in ihe entity ihat is liable for the property taxes on the property and that owns the property or is buying under a contract.
. � CONTRACT RECORDED - � �
� It buying on wntraa, Pee Simple owner's name - . , . �
IRecortler's oHice where contraa is recorded - Rewrd number Page
Caunry
If any
otthe
PROPEflTY DESCRIPTION
TovmsNp
Legal description
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of the residential siructure or Ihe land not exceetling one (1) acre that immediatety
y utilized to protluce income.
town,
�1 �S/ /U �� �
Ihat swcmre is usetl to protluce i�ome, describe the use and ponion
PROPERTV OWNED BV CLAIMANT IN OTHER COUNTIES
County TOwnShip Counry Township
�sby certify the above statements are true, correct and complete. Siqnature of Uaimant .
Address (number and sveei. dry. stafe. ZIP cotle) �
i
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land noi exceeding 1(one) acre immediately
surrounding residential improvements. (�)
Oiherland (p)
7otal land (line 1 p/us line Z� (3)
Dwelling (4)
Residential improvemenis
Garage (5)
Other improvemenis (6)
Total improvements (line a through line � (7)
Total value (line 3 p�s line 7� (g)
I hereby certity the above is irue, cArrett. and Signature of Assessor Dare signetl
complete. -
�wing action - Signature ofAutlimr � Date signed
�
. STANDARD DEDUCTION ALLOWANCE
79_ Pay 79_
Lesser of 7/2 Homestead
valuation or 52.000 S '
Signamre ot Autlitor . Date sgnetl