HomeMy WebLinkAboutHomestead_HutchinsonCLAIM FOR HOMESTEAD PROPERTY TAX .
CREDIT /STANDARD DEDUCTION
State Farm 5473 (Re / 4-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See revww ado for Mrip kmftcdwm
I
I (We) y / ° /L/ certify that of -@rig 1st@iayuf March, 20
I (We) occupi a o 'ncip p ce of residence the following described real property (or which a Homestead Property Tax�Credit Iereb daimed:
❑ 1 (We) ❑ 'ng under contract GIBBON COUNTY AUDITO
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract.
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�x -ak �? CONTRACTiRECORDED?, i;! ��% �- x�''.' �+ Y'�g.Yr�S?TZ`"'s�.FSakr- y`hk+.
If buying on contract. Fee Simple ownees name
Recorder's office where contract is recorded Record number Page
s�'- �++'i�°��a�+..�'v-rr _ �FPROP,ERT,Y.DESCRIPTIONy =T
County
Township
T attic dry, town, t wnship)
i9natur i nanj
P umber _
3
e ion F
�—
Is the property in question:
'
L p
Ed
Real property ❑ Mobile Hone (I.C. 6-1.1 -7)
H any portion or the resid lal structure w M ot exceeding one (1) awe that jmrrtedw(ely,wrtounds that .ru a is used to produce income. describe the use and portion
of the utilized to income. /O-
property produce
/l �/ /J-(�
Al�tj #�� -��- 0G- dGO- 6co- '29,�--006,
�?'��t�+.��'r -"��� �-'w'�P�:� ?���*i�QROP.ERTY;OWNEDrBY CLAIMkNT .IN:OTHER'000NTIES,k%�y a��'",."�a�T:��az- .3`�• -<�s` .nEk < #'!k!- 1'�°�'�
County Township
County Township
hereby certify the above statements are We, correct and complete.
i9natur i nanj
Address number and street, city, state, ZIP cod ) e
/� Isor3o��
1014=114,11 �
SSESSOR USE ONLY
yYxe. °la$ Fes ;k11>:.,.T.i¢�t*
TRUE TA7C ,
?�wVAL:UE,'•Sti
ASSESSED VALUE
WAT�100% OFTTV,�VALUErrs�e.�F'.VALU
D!
HOMESTEAD.F
p
'
INONAEStDENTVLL
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
Other land
Total land (line 1 plus line 2)
(3)
'Residential Improvements or Annuagy
Assessed Mobile / Manufactured Home
Dwelling
Garage
(4)
NX'z'rYSfi'E r
Other improvements
(6)
. a.
Trial improvements (line 4 through line 6)
(T)
Trial value (fine 3 pits line 7)
(S)
1 hereby certify the above is true, correct, and
complete.
Signature of Assessor
Date signed
Verifying action - Signature of Auditor
Date signed
" 'f r —STAN nRO:DeoucnoNneLOwaricE.
20 _ Pay 20 _
Lesser of 1/2 Homestead $
vauaem or f35.DD0
Signature of Auditor Date signed