HomeMy WebLinkAboutHomestead_Wright (23)�'
,`�m�� CLAIM FOR HOMESTEAD PROPERTY TAX
r� � CREDIT/STANDARD DEDUCTION
.�` State Form 5473 (R2 / 5-92) .
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INSTRUCTIONS: See reverse side to� liling instructions.
FORM YEAR
HC10
� ��i �
I(We) � %� certify that or�' �� 1� day'��ch, 79_
I(We) occupied as our principal piace r si ence e following des ed real property for which a Homestead Property 7ax Credit irs.hereby claimed:
�I (We) owned ❑ Are buying under coNract ,,' • __ % ���
.'✓.i..�..- � ; �'' � I
Have a beneficiat interest in the entiry that is liable for ihe pmperty taxes on the property and that owns the.property�or is buying undera contrad.
. .. _ . . .. , , . � : � �, ; -. CONTRACT RECORDED , , � - .._.. . �� ._:�- ' .. -. ,< :: . .. . ... .< r,,: ,.
If buying on contrad. Fee Simple owner's name
Recortler's oNice where contract is recorded FiecorC number Page
Township
Par� � be^� � ILegaltlescription //�
S �7=0Z� %.e
If any ponion ol Ihe resiCential sWtture or the land not exceeding one (1) aue Ihat
of the pmperty utilized to produce income.
�. �
fOW/1,
surtounds iha[ sWCNre is used to prLduce income, describe the use antl ponion
PROPEFiTY OWNED BY CWMAM IN OTHER COUlRIES � -
Counry Township Counry Township
I hereby certify the above statements are true, correct and complete. Si9 m� � a�man2 /
�eu(nu berandsbe tary, re lPCOde) '
/
- . ASSESSOR USE ONLY 7RUE TAX ASSESSED MOMESTEAD NON-RESIDENTIAL.
� . � - � VALUE VALUE VALUE - .� VALUE
Land not exceeding 7(one) acre immediatety �� �
surrounding residential improvements. (�) _ - �
Otherland (p) - � �
Total land (line 1 plus line 2� (3)
Dwelling (4) � � �
Residential improvemenis _ �
Garage (5� ,`
Other improvements (6) -
Total improvements (line 4 throvgh line � (7)
7otal value (line 3 p�s line � (g� I
I hereby certify the above is lrue, correci, and Signature of Asseswr Date signetl
complete. �
Vedtyirg aaion - Sgnature of Audiror Date sgned
� STANDARDDEDUCTtONALLOWANCE- . � " �
79_Pay19_
Lesser of 7/2 Homestead
Val ation or $2.000 g
Signa Autlimr Dare si ed
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