HomeMy WebLinkAboutHomestead_Weber Investments LLCeSTI�F
°-, CLAIM FOR HOMESTEAD PROPERTY TAX - FoRM YEAR
CREDIT/STANDARD DEDUCTION
��`i- S�ate Form sa73 (rj2 / s92) C7
�� INSTRUCTIONS: See reverse side for liling instructi s. - � g�� �J �
CERTIFICA O STATE NT
1(VJe) � � ' t i on the�bst day o ar , 19_
i
I(We) occupied as our principal place of residence the tollowing described real property for which a Ho te� ��U TY AUDI . claimed:
❑ I(We) owned ❑ Are buying under contract '
❑ Have a beneficial interest in the entiry ihat is liable for ihe property taxes on the propeAy and that owns the property or is buying under a contract.
CONTRACTRECORDED
If buying on convaa, Fee Simple ownefs name
Recortlers oHice where contract is recorded RecorC number Page
PROPERTV DESCRIP ON
Co ry Township Tax' g ct (ary, fown, rov ship)
�/9-O�/ �
Parcel number Legal deuription
If any portion of the residential structure or Ne Wnd noi exceetling one (1) acre Ihat immedutety sunounds ihat sVUCture is used to produce income, descnbe the use and portion of
the pmperty utilizetl m protluce income.
a l�- ��-ia - ►vy -��3. i � a -a ��
PROPERTV OWNED BV CLAIMANT IN OTHER COUNTRIES
County Townthip Counry Township
SignaWre tc imant
�ereby certify the above statements are We, correct and complete.
A ress(numberandslreeCci stafe,ZlPcotle)
- �, . �� � � a
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VAIUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediatety (�)
surtounding residential improvements.
Oiherland (2) -
Total land (line 1 plus line 2) (3)
Dwellinq (4)
Residential improvements
Garage (5)
Other improvements (6)
Total improvemenis Qine 4 through line 6) (7)
Total value (line 3 plus line 7J (8)
I hereby certify lhe above is tNe, covect, and Signature of Assesor Date signed
complete.
Veritying action - Signature of Auditor Date signed
�� STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesserof 1/2 Homestead 5
Valuation or 52,000
Sgnamre of Autliror Date signed