HomeMy WebLinkAboutHomestead_Wilkerson (9)�.^•o
a/ �' ; CLAIM FOR HOMESTEAD PROPERTY TAX
�;E��; CREDIT/STANDARD DEDUCTION
.. l��,;;• State Porm 5473 (R2 / SA2)
�si.
INSTRUCTIONS: See �eve�se side tor /iling instructions.
� _ � ,. CERTIFICCTI
••
i .j ; Ii �•Yi't
� ..
► � �.
YEAR
I
I IWe) _ �.� ��. ..�1.f � w� �'��/�r"dnlh'�;{Sq62�j�( March, 19�
�) occ i as our principal place of residence the following described reai property for which a HomesteadT p2rty �fe�Ciedii is hereby Gaimed:
We) owned .❑ Are buying under contraci � � � .
❑ Have a beneficial inierest in ihe eniity that is liable for the property taxes on ihe pmperty and that owns the property or is buying under a contract.
CONTRACTRECORDED � �
It Wyinq on contract, Fee Simple owner's name �
Recorder's ottice where contraa is recorded Record number Page
Counry
Parcel number Legal
olq -�839
It any ponion ot the resitlential stmcwre or the land
of the properry utilized to produce income.
PROPER. _ _�_TY D_R
�Taxing
(ciry, towp. mwnship)
�Z�.� I�fS � Ya
one (7) acre that immediarety surrounds ihat structure is used ro produce income, desuibe the use and portion
ASSESSOR USE ONLY
Land noi exceeding 7(one) acre immediately
surrounding residential improvemenis.
Otherland
Total land (line 1 plus line 2�
Dwelling
Resideniial improvements
Garage
Oiher improvemenis
To�al improvemenis (line 4 through line �
Total value (line 3 p�s line �
1 hereby certify ihe above is tme, correci, and
complete.
Veritying aciion - Signature of Auditor
19_Pay79_
Lesser of 1/2 Homestead
Valuation or 32,000
TRUETAX ' ASSESSED
VALUE VALUE:
(�)
(2)
(3)
14)
(5)
(6)
I�)
l8)
Signature of Assessor
�
HOMESTEAD I NON-RESIDENTIAL
VALUE VALUE
Date signetl
Date signed
SignatureotAUdiror \, �a;e>� o (� Q _
C�? /Y�r.SL L� ' -I' I�