HomeMy WebLinkAboutHomestead_Marshall (2)CLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTANDARD DEDUCTION
State Form 5473 (R614 -03)
Prescribed by the Department of Local Government Finance
L60.
INSTRUCTIONS. See reverse side for riling Instructions.
MAR 2 9 20
ERTIFICA71ON STATEMENT`S
20
I (We) occupied as our principal place of residence the following described real property for which a
❑ 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.
.x+�. :'�,;�iCONTRACT'RECORDED Y`' 'ai -. 'yx �.. ies -+�'�+ o-x�- .t•�'r y•�''°
If buying on contract, Fee Simple owners name
Recorders office where contract is recorded Record number Page
ROFERTY.�ESCRIP.TION' s' __:c ;� ..- f,'?5cl,iR- 2'.'4ra4. .;
u.
County
Township
County Tavnship
Taxing district (city, town, township) '
Si a f claimant
s rI
4 dress (number and street, city, state, ZIP code) "
yAT.- 100 %0FaTfV
B
Parcel number �I �1
- 1`i—(g -IOq- oo 0
Loggal descriptioonn �/, ,,,�
r(%
Is the property in ques6o .
v� I
J LA u" `-'^"'-
0 1
Real property ❑ Mobile Home ( /.C. 67.1 -7)
If any portion of the residential structure or the land not exceeding one (1) acre
that immediately surrounds that structure is used to produce income. describe the use and portion
of the property utilized to produce income.
Other land
-' + > ;'a?,?7= P.ROPERIY, OWNED -, B1C CL'AIMANT.IN'OTHER'CO(11JTIES +r��'!
County
Township
County Tavnship
I hereby certify the above statements are true, correct and complete.
Si a f claimant
s rI
4 dress (number and street, city, state, ZIP code) "
ASSESSOR U E ONLY -='��'
cTRUE TAX?
ASSESSED VALUEHOMESTEARf`'3
NOON,- RESIDENTIAL` -�t'pv
yAT.- 100 %0FaTfV
Land not exceeding 1 (one) acre immediately
c
surrounding residential improvements.
� x
Other land
(2)
i o r_
Total land (line 1 plus line 2)
(3)
Dwelling
(4)
p 5r _. �ae x -
a _�'
'Residential impro vements or Annuagy
``'�'�`'' �'' �
Assessed Mobile I Manufactured Home
Garage
Other improvements
(6)isry'j
t g
- -
a� i
Total improvements (line 4 through line 6)
(7)
Trial value (line 3 plus line 7)
(0)
hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
2STANDARD:DEDUCTION7ALLOWANCE e�s0,�r;.4r.�fa'',at:�'s
20_Pay 20_
Lesser of 112 Homestead
Valuation or E35.000 S
Signature of Auditor Date signed