HomeMy WebLinkAboutHomestead_WolfCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
w
S-tate Forrn.5473 (8715 -M
Pvsoibed by the Depertren(d Loral Governrrrard Farmwe
INSTRUCTIONS: See reverse side for Ring instructions.
NOV 0 S 2006
I (We) 4 certify 1hat,*ft6jj COI UNTGR
1 (We) oarrpi as our principal place of resid �e the fallowing described real property irh a Homestead Property Tax Credt is hereby daimed:
(We) ❑ Are buybtg uric Contract
_ f 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-
CONTRACT RECORDED•'.•
d buying on contract Fee Simple owners rem
Remrdees office where cerdad is recorded Record number Pape
-
PROPERTY DESCRIPTION
Candy
Township
Tavnship
Tadtg d coy . t )�
Parcel comber
L desicipdm
Is the properrtyy question:
Q -cGSJ
7
^�! Z
in
///�
`C — I L.]d<ea property ❑ Mobile He. (I.C. 61.1 -7)
if arty potion of the residential structure m the Lad not exceeding one (1)
acre that unnedatdy suriurmds that sbtcboe is used to produce trici , dmame the use and portion
et��i'Gmd to pmdtce mmme.
Tdet land (Mm 1 plus fine 2)
(3) .
oz /4/ /P 30,3 - 0Y0- yf5 --
- - PROPERTY OWNED BY CLARIANT IN OTHER COUNTIES
County
Township
County
Tavnship
I hereby certify the above statements are true, correct and cornplete.
Less (nurter and sleet ci7: slate 7. ZIP code)
B/.41 /J. 62f � C oil 6�416,1 ,�N Ll7r'v(oU
ri
ASSESSOR USE ONLY
..
TRUE TAX
VALUE_.
ASSESSED VALUE
AT 100X OF T I V
HOMESTEAD
VALUE. '
_ 'NON- RESIDENTIAL . • • .
.P VALUE.
Land not exceeding 1 (one) acre inrvrediatety
starou tding residential improvements.
Otter land
(2)
.
Tdet land (Mm 1 plus fine 2)
(3) .
Residential bnp m or Annually roveents Annually
Assessed Motile I Martdachxed Horne
Dwelling
(4)
-
_
Garage
(5)
Other improvements
(6j
Trial bnprovemerrts (fare 4 through fire 6)
(T)
Tdal value (line 3 plus Lfm 7)
(3)
I hereby certify the above is We, correct. and
complete.
Signature of Assessor
Date signed
Veirying action - Signature of Audmr
Data signed
® - STANDARD DEDUCT{Otl ALLOYYAMCE -
20 _ Pay 20 _
Lesser of 12 Homestead
Valuation or SM,000 i
Signature of Audlor Date signed