HomeMy WebLinkAboutHomestead_AydtCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R614-03)
Prescribed by the Department of Local Government Finance
INSTRUCTIONS: See reverse side for riling insfirudions.
I !anQ N
YEAR
I (We) MAR 2 8 2007
7 place of residence ttrh flowing �desmbed , property �forwhch a �Hom( certify that on the 1st day of March, 20
'4!!�Me u r co -3
0 pj as our princi place of residence th flowing described
property for which a Homestead Pnedt T C oil is hereby claimed:
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I
(W#wn.d ❑ a buying under contract L
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns%W�KTbiy%Q&Ra contract.
is XONTRACT RECORDED-
gi
11 buying on cantract. Fee Simple owners name
Recorders office where contract is recorded Rewrol number Page
PROPERTY, -t
County
Township
Tm
I (city, to n, low hip)
I hereby certify the above statements are true, correct and complete.
9 ^a t claim
draw (number and street, city. state, Zip code)
Of E. Edl4orot, k C4. 0,06s
Parce
n r
Le I description Is the property in question:
's:
VAT
Real property ❑ Mobile HMO (LC. 6G1. 1-7)
)e
If any portion of the resid —
structure or the land not exceeding we (1) acre that imrnc�dimpty ds rA,;t.,e is used to produce income, describe the use and portion
of the Property utilized toe Pd S=me.
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TfhYdMEIJ�BY CEkI94 - I h '6TH Ekt6u Nfits 4F,_a-'
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
9 ^a t claim
draw (number and street, city. state, Zip code)
Of E. Edl4orot, k C4. 0,06s
1�!fASS "N -
-J.,�ASSESSORUSE It
W ek�ur 1 -
4��V� ai
ME . .. W�� - 1 , , .
Z-.TRUIEtTAX�,
VAL
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ASSESSEDYALUE
'AT 100%TOF;TW'
IV
1: ... L.�'-� I .
A--H0MESTEAEl7-
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Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
0)
Other land
(2)
's:
VAT
lylk
Total land (fine I plus line 2)
(3)
Dwelling
) (4
�1111`3 ®R
lResidential improvements or Annually
Assessed Mobile I Manufactured Home
Garage
(5)
Other improvements
(6)
Total improvements (fine 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, correct, and
Signature of Assessor
Date signed
complete.
Verifying action - Signature Of Auditor
Date signed
TANDARUDEDUCTIONALLOWANCE f
20 Pay 20
Lesser of 112 Homestead
Valuation or S35.DOO
Signature o(Auditor )ate signed