HomeMy WebLinkAboutHomestead_Wyatt_ � _ . 1 .z.L �.
ca ��R°, CLAIM FOR HOMESTEAD PROPERTY TAX : � EAR
s��'� CREDIT/STANDARD DEDUCTION „ i� ��
�, �� State Porm 5473 (R2 / 5-92)
�aia �fl� �Ls y(N1C
INSTRUCTIONS: See reverse side /or filing instructions. ��� �' �����
of residenc he fo' 'ng descri d real property for which a Homesiead Property Tax Credit is hereby daimed
�1 I(We) owned � Are buying under coniract - .
A`,
LJ Have a beneticiai interest in �he entity that is liable for the property taxes on the property and that owns ihe property or is buying under a contraci.
� CONTRACT RECORDED . - �
It buying on contraa, Fee Simple owner's name • � _ �� . ��
Recorder's ottice where coniract is recortletl Record number Page
PROPERTY
Counry
. . �J L
Parcel number Leqal tleSCription
�llq- 0313� o�
If any ponion ot the residential stmcwre or Ne IarW not ezceeding one (1) acre that immetliatety
ot Ne properry utilized to produce income.
townshrp)
that strucWre is used to produce income. descnbe the use and portion
PqOPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
:ounry TownShip Counry
� �
�reby certify the above siatements are true, correci and complete. Signature ot daimam .
Address (numberantlstreef. dry. sfale. ZlPCOde) �
��oy W 5�..�e.� S�'• �u � �i 76 7e �
� ASSESSOR USE ONLY TRUE TAJC ASSESSED HOMESTEAD NON•RESIDENTIAL �
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediatety
surmunding residential improvemenis. (�)
Otherland (p) �
Total land (line 7 plus line � (3) _'
Dwelling . (4) • �
Residential improvemenis
Garage (5)
Other improvements (6) - I
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line 7� (g)
I hereby certify the above is tme, wrrect, and Sgnature ot Assessor Dare signed
complete.
Verifying action - Signature of Audiror Date signetl
�
19_Pay79_
Lesser of 1/2 Homesiead
Valuation or 52.000
STANDARD DEDUCTION
5
Date