HomeMy WebLinkAboutHomestead_WalkerSiqp
/ ¢
a °
� ��:
� <
i
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Stare Form Sa73 (R2 / S92)
INSTRUCTIONS: See reverse side /or (ling instructions.
ORM YEAR
� HC1
OCT 16 2000
CERTIFICATION STAT NT
� (We) �78�'� Y�aY'A r . 19_
I(VJe) occupied as principal place of residence the follovring described real propeiry for which a Homes ead Property Tau re����l��b claimed:
❑ I(We) owned ❑ Are buying under contract � .
❑ Have a beneficial interest in the entity that is liable for the properry tazes on the property and that owns the property or is buying under a contract.
CONTRACTRECORDED -
If buyirg an conVact, Fee Simple owners name
Recordets oKCe where comract is recorded Record number Page
PROPERTY DESCRIPTI
Counry Township Taning d t (ary wn, township)
P number �` Legaldescription
c� 9 od �'�4 � .
11 arry portion of ihe residential sWCNre or the lantl not exceeding one (7) acre Nat immetliatery surtounds that swcture is used to protluce income, tlescribe the use and portion of
Ne property utilized ro produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry TownsNp Counry , Township
Si imant
�areby certify the above statements are true, correct and complete. �
dtlr (n mber arW slreet, ci , s(ate, Z/ cade) � _
1�
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not ezceeding 1(one) acre immediatey (��
surrounding residential improvements.
Otherland (2)
Total land (line 7 plus line 2) • (3)
Dwelling (4)
Residential improvemenis
Garage (5)
Other improvements (6)
Total improvements Qine 4 through line 6) (7)
Total value (line 3 plus line 7) � (B)
I hereby certify the above is true, correct, and Signamre ol Assesor Da�e signea
complete.
Verifying action - Signature of Auditor Date signetl
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _ .
� Lesser of 1/2 Homestead - �
Valuati n or 52,000
Signat e A Oitor Date Si ned
0-��"oC�