HomeMy WebLinkAboutHomestead_Wheeler (5)y`���� CLAIM FOR HOMESTEAD PROPERTY TAX
i:� CREDIT/STANDARD DEDUCTION
State Fortn 5473 (R2 / 5-92)
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INSTRUCTIONS: See �everse side (oi liling instructions.
FORM
HC10
YEAR
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1(We) w certify that on the 7st day ocf March, 19_
I(We) occ pied as our princ lace of es ence the following described real property for which a Homestead Property Tax Credit iSfLe�by1d �im�9
❑ I(We) owned ❑ Are buying under contract / (/��
` Have a beneficial interest in the entiry ihat is Iiabie for the property taxes on the property and that owns the property or is boying u�nd�era mnVact.,
r�a.�r
, . . .. . . CONTRACTRECOHDED�,�.'.-..:.. i ..,�'� -
Ii buyirg on conVact, Fee Simple owner's name f �
Recortler's oflice where comraa is recorded ' Recortl number Page
- , . .. . , . ."�^ . . . PROPERTY DESCRIP'TION � . ,. .- . .., � �°.. . , . , _ . .
�o, -
, -
County Township Tazing disirid (ciry, town. fown5hip)
Parc I�mb^rQ ,� ^ Legal tlescnpiion �'
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If any ponion oi the residential structure or [he land not exceeding ona (1 � aae ihat immediatey surwunds [ t structure is used o produce ir�come, describe Ne use and portion
of the properry utilizetl to produce inmme.
PROPERTY OWNED BY CWMAHT IN OTHER COUNTIES � -� � ��
Counry Township Counry Township
I hereby certify the above siatements are true, correct and complete. 10 e o� daimani ��
�dre (numberarMstree(, dry. state. ZIP � (� 1 \
� c7 1�� � 1 U
ASSESSOR USE ONLY � . TRUETAX ASSESSED NOMESTEAD � . NON-RESIDENTIAC, ,
- VALUE VAWE VALUE VALUE
Land not exceeding 1(one) acre immediately _ - - � �
surrounding residential improvements. (�) � - � �
Oiher land (p) �
Total tand (line 7 plus line 2� (3�
Dwelling (4) ' ° . .. �.
Residential improvemenis . , -
Garage (5) . . . . `.
Other improvements (6) �
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g�
I hereby Certify Ihe above i5 true. Correci, and Signature of Assessor Date signed
complete.
Ventying action - Synamre of Audibr Dare synetl
Signature of Auditor
19_Pay79_
Lesser of tl2 Homestead
Valuation or 32,000
S
Date
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