HomeMy WebLinkAboutHomestead_Deena Twis
SEP 18 2002
I (We) -M-21 cerQ
I (We) occupied as our principal IaU of residence the fol ing desc ed real property for which a Homestead Rope NTW6",'g
y re it is`h&W&imed
I (We) owned ❑ Are buying under contract
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.
sf Z041 CONTRACT RECORDED.
f buying on contract. Fee Simple owners name
Recorders office where contract is recorded Record number Page
CLAIM FOR HOMESTEAD PROPERTY TAX
7PROPERTY DESCRIPTION
CREDIT/STANDARD DEDUCTION
Township
State Form 5473 (IRS / IMI)
Taring In (city, tow". tow hip) (Zill tA
Prescribed by the Department of Local Government Finance
description
INSTRUCTIONS: See reverse side for filing instructions.
a Twis
SEP 18 2002
I (We) -M-21 cerQ
I (We) occupied as our principal IaU of residence the fol ing desc ed real property for which a Homestead Rope NTW6",'g
y re it is`h&W&imed
I (We) owned ❑ Are buying under contract
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.
sf Z041 CONTRACT RECORDED.
f buying on contract. Fee Simple owners name
Recorders office where contract is recorded Record number Page
.'t PROPERTY OWNED BY CLAIMANT IN 6TH ER-C 0 U NTIES,_.' _" - ' -_ (' -''
County
7PROPERTY DESCRIPTION
County
Township
I hereby certify the above statements are true, correct and complete.
Taring In (city, tow". tow hip) (Zill tA
Parcel number
description
I Is the property in question:
cccM-Inb-M
'Q
1:2. V-4a- Mobile Home (LC. 6-1.1-7)
If any portion of the residential structure or the land not exceeding one (1) acre that immetliately surrounds that stni`aurp is used to produce income, describe the use and portion
of the property utilized to produce income.
surrounding residential improvements.
.'t PROPERTY OWNED BY CLAIMANT IN 6TH ER-C 0 U NTIES,_.' _" - ' -_ (' -''
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
Signalure of claimant
%%0 �#� fLA 14 AtZVU
5;ae
rdl
_ASSIEiiiSOWO& 6-
ONLY
�:;�JRUE-TAX, T�
I I
ASSESSED VALUE
HO
V -NON-RES[
-t;,"
"
- VALUE, -
m
N TTV
�T..10.0 OF,
.,:'VALUE�F:�r�
- VALUE
"; - .11
4
Land not exceeding I (one) acre immediately
surrounding residential improvements.
Other land
(2)
Total land (line I plus line 2)
(3)
41
Dwelling
(4)
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (fine 4 through line 6)
(7)
Total value (fine 3 plus line 7)
(8)
I hereby certify the above is true, correct, and
Signature of Assessor
Date signed
Verifying adbn nature of Auditor
Date signed