HomeMy WebLinkAboutHomestead_Helsley (2)CLAIM FOR HOMESTEAD PROPERTY TAX FORM
YEAR
CREDIT /STANDARD DEDUCTION
State Forrn 5473 (R7 /5M
Prescribed by the Deperbriard of Local Govenvnerd Ft
INSTRUCTIONS: See reverse side for Ming insfructions.
I (we) Y )KA A cerfif�hal a*�daj'�, W_
I (We) occupied as our principal place "es=admd property �� the"fbol !'n—g d— V;proiperty i,;r which , Homestead Property Tax Credit is herebv claimed:
I (We) owned ❑ Are buying under contract FEB 1 2-16
Have a beneficial interest in the enfity that is liable for the property bows on the property and that owns the property-" buying er a contract
If buying on mnbaa Fee Single ownses narre
ftcorder's ofico where contract is reoorded Pjxxwd number Page
,., .",.2",, PROPERTY owmEDay. CLAD/ANT tN OTHER 'COUNTIES i
MWETAX
PRoPERTYbEscmPnom
Township
County
Township
Tarr tip
Signature of
V
Tang district (cOJ4
90&*qm (nww d and Street cftsfals, ZAP code) X
-7
Land not exceeding 1 (one) acre immedlistalY
MY. sAQe� ol4utet aa 6 0
s9lature of &6tor
surroundkV resudenfial anprovements_
and amber
3a3-co
Legal description,
Is the poop" in question,
I
d(0_ 1q_ 13
. S a -0 CQ
D-R.".party ❑ Mobil. H. (1(11 1-7)
If any portion of the residential structure or the LvW nil exceeding one (1)
sore dud intrnwieldy surrounds dud shicture
is used to produce income, describe the use and portion
of the property utilized to produce
TOtEd land (Inns I pAris fine 2)
,., .",.2",, PROPERTY owmEDay. CLAD/ANT tN OTHER 'COUNTIES i
MWETAX
County
Township
County
Township
I hereby as" the above staternents are true. correct and complete.
Signature of
V
90&*qm (nww d and Street cftsfals, ZAP code) X
-7
Land not exceeding 1 (one) acre immedlistalY
MY. sAQe� ol4utet aa 6 0
'z
of ASSESSOR USE
MWETAX
-ASSI - .
D
"VALUE
� ,
-,VALUE �
a
?AT -100% OF
j'�W-OWRESJN
W �
Land not exceeding 1 (one) acre immedlistalY
VakLabon or $35,000
s9lature of &6tor
surroundkV resudenfial anprovements_
Data signed
im
Other land
(2)
TOtEd land (Inns I pAris fine 2)
(3)
Vf'
Residents] irr�, ents or Annually
Dwelling
(4)
Garage
Assessed Mobile / Manufactured Home
(5)
Other improvements
(6)
Trial arpuvernents (firm 4 dmugh dine 6)
(7)
Tidal value (1km 3 phE One 7)
(8)
I hereby oarfify Vve above is true. cared, and
coff1plate-
Signature of Assessor
Date signed
wrifying action - signature of Auditor
Dide signed
STMDAFW MMCTM'ALL 0WANCE
ow 20_ Pay 2O_
Less" of 12 Homestead
$
VakLabon or $35,000
s9lature of &6tor
Data signed