HomeMy WebLinkAboutHomestead_Riley (6),,..^r..
e.� ; CLAIM FOR HOMESTEAD PROPERTY TAX O
�;y i,E�:, CREDIT/STANDARD DEDUCTION �p
;�,� z State Form Sa73 (R2 / 5-92) �
INSTRUCTIONS: See reverse side for7iling instiuctions. �
FORM
HC10
YEAR
93
�
t(We)._ � certify that on the 1st day of March. 79�
I(1 �i�ied as our principal place of residence the following describe eal property for which a Homesiead Property Tax Credit is hereby claimed:
❑ I(We) owned ❑ Are buying under contract
❑ Have a beneficiai interest in the entity that is liable for ihe property taxes on ihe property and Ihai owns ihe property or is buying under a contract.
� COMRACT RECORDED �
I� buying on tAn:rati. Fee Simple ownefs name
Recorder's oHice where contract is recorded Record number Page
Coun,y
� PROPERTY DESCRIPTION �� -
Tavnship _ Taxirg distriti (City, lown, town5hip)
IParcel number Legal description
o�a -o� 4y�-� P-� N�vcu- 7-a-,v .�s��
U any portlon of the residential simcwre or the la� not exceeding one (7) acre Ihat immetliatety sunounds Nat siructure is used [o produce income, describe the use and ponion
1' of Ne property utilized to produce income.
± � TRUE TAX ASSESSED . HOMESTEAD NON-RESIDENTIAL
I ASSESSOR USE ONLY VALUE VALUE VALUE VALUE
� Land not exceeding 1(one) acre immediately
� � surrounding residential impmvements. (�)
Otherland (p) �
Total land (line 7 plus line Z�
Residential improvements
Other improvemenis
(3)
Dwelling (4)
Garage (5)
(6)
Total improvements (line 4 through lina �
Total value (line 3 p�s line �
I hereby cenify the above is [rue, correct, and
complete.
Verifvino action - Sionature of Auditor
19_Pay79_
Lesser of 7/2 Homesiead
Valuation or $2,000
l�)
(8)
Signamre ot Assessor
�
Date signetl
Dare signed