HomeMy WebLinkAboutHomestead_Blankenship (3)e.`''—� CLAIM FOR HOMESTEAD PROPERTY TAX
�i1) CREDIT/STANDARD DEDUCTION
3�1�j State Porm 5473 (R2 / 5�92)
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� n INSTRUCTIONS: See reverse side for liling instructions.
FORM
HC70
YEAR
I 1 certify that on the 7st day of March. 79_
�) occu � sour principal place of residence e iowin described real propeny for vhich a Homestead Property Ta 4' i ere i
'� I(We) owned ❑ Are buyfng under conV ..t ���
❑ Have a beneLcial imeresPin �he entity that is liable for the properry taxes on �he properry and Ihat owns the property or is buyjqg„�qder a wntract.
" CONTRACTRECORDED -
If buying on conlratL Pee Simple owner's name AUDITOR
Recortler's oH�ce where con(ran is recortled Record number Page
Counly
Township
Legal descriplion
PROPERTV
district
I: any portion ol the reSitleNial S�ructure or the lantl not e.ceeding On2 �1) aCrQ Ihat imm2tliately 5urrountl5 Nai S�mcWre is u5etl Io produce income. tlescribe lhe Use and potli0n
of the property milized ro protluce income.
County
�/ ��_7/_
PROPERTV OWNED BY CLAIMANT IN OTHER COUNTIES
cenity the above statements are true. correct and complete. � I s�gna; � e ot
�
numbe�no sneet. ciry. stale LP�tle) � � �� � �
ASSESSOR USE ONLY TRUETAX ASSESSED MOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately I( � I I
surrounding residential improvements.
Ofherland (z) I
Total land (line 1 plus line Z� (3)
Dwelling (a) I
Residential improvements
Garage (g)
Other improvements I (6)
Total improvements pine 4 through line � I(7) I I I
Total value (line 3 p�s line 7� (8) I I
I hereby Ceriify the above is tme. wrreci. and Signa;ure ol Assessor (Da;? signetl
complete.
Verifying action � Signa;ure of Autlitor Date slgned
� .
19_Pay19_
Lesser of 72 Homestead
�Valuafion or 52.000
STANDARD DEDUCTION
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