HomeMy WebLinkAboutHomestead_Austill (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
Sate Form 5473 (R7I S*M
P. suibed by the Deparlebnt of Local Govemnerd Fatanca
INSTRUCTIONS. See reverse side for lifing instructions.
—p— CERTIRCATION STATEMENT
I (we) � r. A �U L� ^^ M D r' � certify that on the 14 db
irit I (We) occupied as our principal place ` rtce the foNOwin scribed real property for which a Homestead ProperQfBg
owned ❑ Me buying under contract a beneficial interest in the entity, that is liable for the property taxes on the property and that owns the properly or is buying under a contract
CONTRACT- RECORDED•
It buying on xintracb Fee Simple camels norms
fimmdees d5os where contract is retarded Record number Page
- - ' - - PROPERTY OESCRIPT ON ... .
Carey
Township
Tatung d' ' , , ttwnsfup)
Parcel rxariba
t Is the prop rty'n question:
❑
/ " -v
I Rest properly Mobile Hone (LC. r l.1 -7)
If arty potion of the residential sfnrrawe or the lad not reseeding one (1) eare that mmedately surrounds anal strumae is used to prodnnoe iwome. describe the use and portion
of Me p,M;7=0 'rmmme.
Land not exceeding 1 (one) acre inte tiatety
a� i�8 -3v� Sam c�
• .:. - - ` .. "PROPEIM.OWNED BY CLAMANT IN OTHER COUNTIES • -'
'Township
County
ASSESSED VALUE
County
Township
I hereby certify the above statements are true, correct and complete.
VALUE.. .
" f XlU state l 0ll� ttd-A _ (�"4 , T o
- f /
USE ON LY
ASSESSED VALUE
OETA MESTEA D
`NNRESIDEN7IAL `,'
- . :ASSESSOR
VALUE.. .
.AT; 10X OF TY
VALUE,.-,'
:VALUE: • `.
Land not exceeding 1 (one) acre inte tiatety
_
"'.;.
starourd'eg residential improvements.
-
,r.
Other land
(2)
'-
Tdbl land (fie 1 plus fine 2)
(3)
Residential vrtprovemenls or Annually
Dwelling
(4)
Assessed Mobile f Ma ufacheed Horne
Garage
Other bnprovements
Tdal mVrovemerds (fare 4 Ouongh fine 6)
(7)
Total value (fore 3 phs line 7)
(6)
I hereby certify the above is true, correct. and
Sigrrab" otAssessor
Date signed
complete.
Vetfpng action - Signature of Auditor
Date signed
20_Pay20_
Lesser of 12 Homestead
Valuation or 535.000
S