HomeMy WebLinkAboutHomestead_White (5)CLAIM FOR HOMESTEAD PROPERTY TAX FORM -Y-E-A R
CREDMSTANDARD DEDUCTION
State Form 5473 (R7 / 5 W
Prescribed by the Department of Local Covemrrwd Finance EV'
INSTRUCTIONS: San rn re - skin skYa frr filinn imJnx•ihn<
as our principal place o�Eidenca( �afoflowing described real property for which a HomelctLo'=�,='jth 20
Y�e2 diaimed:
,in
❑ Y AUDITOR
a) a. 7 under W:)
(W.1 buying under conlract
iave 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.
J��V,�Vo C 0 N T PAc y.. RE to RD E D,Fs j
If tuyvV on contract Fee Simple ownees name
Recorders office where contract is recronfe0 Revd number Page
-4`;.PROPOiTY.OWNtD,BYdLAM"tfN OTHER
, I- " -10
� '; WA�'j��.PfCOPERTYDIESCI41FT
County
County
Tumnship
Tadngd'
signature of claimant
- yudl�
umber and street crf): state, ZIP code)
�al 1A1§ ffk�
01118
I
(2)
Parcel number
-- --
Is the property'
question:
0 /
It
z
Residential improvements or Annually
Assessed Mobile I Manufactured Horne
VR.W property ❑ mobile Horne y.c. 61. 1 -7)
rc any
structure or the land not exceeding one (1) acre that immodiatety sumounds thatkutlure
is used to produce income, describe the use and portion
of the
Vulh=onlol
P_= incrxne.
(5)
jo - ov 0. 6
Other improvements
-4`;.PROPOiTY.OWNtD,BYdLAM"tfN OTHER
County Tmnship
County
Twrnship
I hereby certify the above statements are true, correct and complete.
signature of claimant
- yudl�
umber and street crf): state, ZIP code)
jug
N
-'x
T
' %HOMIESTEAD 'U
VALLI 7QM
VINIONwRIESIDEN
V
Land not exceeding 1 (one) am imffiediately
surrounding residential improvements.
01118
Other land
(2)
Total land (line 1 PIVS F079 2)
(3)
Residential improvements or Annually
Assessed Mobile I Manufactured Horne
Dwelling
(4)
—mg
g
Garage
(5)
Other improvements
(6)
Total improvements (roe 4 through Erie 6)
(7)
TctEd value (line 3 plus Eno 7)
(8)
1 hereby certify the above is true, correcL, and
complete.
Signature of Assessor
Date signed
Verifying action - Signalure of ALKlitor
Data signed
20 _ Pay 20
Lesser of 12 Homestead
Valuation or SW,000 $
Si naluv of Amddw Date signed