Homestead_Dupps1]
•�""' CLAIM FOR HOMESTEAD PROPERTY TAX
? STANDARD I SUPPLEMENTAL DEDUCTION
i Stale Form M73(R1 2 16 -09)
- � presmeea W me 0erar�I a howl Go.emmnu Fnv+ce
INSTRUCTIONS: See reverse side Iw fTrng instrucbans.
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CERTIFICATION STATEMENT
We) v
ce ry
plan of residence w are) buying the agowing described real property Iw a Homestead Property Tax Standard Deduction is hereby claimed
mn:raU on the to thus aPpOcaUm is fled. (date of f&V):
Iu�rdyer
CI (We) own ❑ Am (are) buying under recorded contract
❑ Ave (are) .abroad to Occupy as a tenant- SlockhoUer Of a CAOperauve housing fArporadM
❑ Have a beneGtial interest in the cost or the right to occupy the property under the terms of a qualified personal residence cost
CLJUMANrs INFORMATION
Naa menvu (regalnanr
So®ISm,y
sOCil $aQaRi�ivnbtt adav�W' „pu+se luau 6w 's lKen,el Merofiraoonlo-
=�
CONTRACT RECORDED'
d buyag m cmaad Fee Smile aQ:ers came -
R.dels eM. xliere cona.d is recorded
DESCRIPTION PROPERTY
Recant rumbr page
Cathy
Township T.. T.. dbaa (
pttl rmmr -
"°w E SPr tame tams:
4� eel property ❑ %auez,.d rtbbee Mna (IC 61.I -7)
a” pagans meoesidental sc"etre ame aM rotexMa`ohgm (1) an* mat encesxt* varaads tut stuare Mused as producevmrie, desmM meuseerd groan
M me waVenY Y]SZM b p1aLL2 Y1fArle.
/oil— 000. 6 9 3 -00 >
PROPERTY
Canty T --sntp
Cuunry Township
I hereby cendy the above statements are cue. correct and complete.
sy
1 tare e,am llpmt.)
n
ASSESSOR USE ONLY
Land nowt e,ceeding t lone) awe r.rns ai.N
surtourMa r.sldentlal lm vemenis.
TRUE TAXVALUE
(t)
- "n_•yT.--a-.?� yx
jd'Kis.va��;; •Fi�T?'"i
Other land
(2)
Total land (U.. I plus IIn. 2)
(6)
Dwelling
(4)
M -•1
Resldentlal bnprevementa or Armuagy
�!_ y) _.,x1 y.7
Assessed MOWalManufac[ured Home
Gara9.
(5)
to {T: t� �$.�
Olh.r mpray.menta
(6)
•'"'•a� '
Total bnprvvemems (it.. a through Wa 6)
(f)
Total value (II.. 3 plm 11.. T)
(B)
I hereby certify the above is true. cortect•
S fawmofmsstsor
Date sva (mean, day read
and complete.
von" ocean. stature or xaatr
STANDARD DEDUCTION ALLOWANCE
Dale signed tmo e. dar. read
20 _pay 20 _ Lesser of 60% of the assessed value of the homestead or 545,000
N thuwdiig any omen Ph mF me con art tedccscru promoted is lC 61. 142 m. moth. boom man
5
eW aasessea a, realpvpeMwm a mamOarret Mme ma16 rNasses,ed as real wvpertym,yrxv exceed
waJMt(IR) ame essessetl valve am. nidbp bane rmamRMUredhone.
sgw,ee al,uab
Dale sgned (mrun, dsY. r<M
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