HomeMy WebLinkAboutHomestead_Mobley (5)��,��.,
e�/ � CLAIM FOR HOMESTEAD PROPERTY TAX
���'� CREDIT/STANDARD DEDUCTION
,�, �� State Form Sa73 (R2 / 5-92)
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I N S T R U C T I O N S: S e e r e v e r s e s i d e 7 o r ( i l i n g i n s t r u c t i o n s.
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+.Je) �, J�_� ��Q ertify th on .he day of ar ' 19_
.�) occupied as our principal plac residence �the following described re' roperty for which a Ho � Gaimed:
U TY AUDITOR
V I(We) owned ❑ Are buying under comract
❑ Have a beneticial interest in the entity ihat is liable br the property taxes on the pmperty and thai owns ihe property or is buying under a contract.
� . � - , CONTRACT RECORDED - -
If buying on comract, Pee Slmple owner's name . � � . � • - �
Recorder's oflice where contract is recorded Record number Page
PROPERTY DESCRIPTION
Township '
Iown,
I number Legal tlescription �
>� = Ot i �� �-�- �-j��,�.�1 � 3 - 3. - , � 3 .� e,
portion oi the resitlemia strucwre or ihe land not exceedinq one (7 � aae th,. immetlia:ey surrounds that swcture is used to produce income, describe ihe use and portion
propeny utilized ta produce income.
�� - /7- 3� -�oa -�/. /�7 D�/
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
y Towns�ip County Township
�eby certify ihe above siatemenis are true, correct and complete. signawre of
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Address (numbe�arMsbeef. ary, stafe. ZlPcode)
��2 f2 i� Z S3 Jx T Z A 1� �5-�-, v: � I� i �-.� O
7 (0 3
ASSESSOR USE ONLY ' TFiUE TAl( ASSESSED HOMESTEAD NON-RESIDEN7IAL.
VALUE VALUE VALUE . VALUE
Land noi exceeding 7(one) acre immediately �
surrounding resideniial improvemenis. (�)
Other land (p) �
Total land (line 1 plus line Z� (3) �
Dwelling (4)
Residential improvements
Garage (5)
Oiher improvemenis (6)
Total improvements (line 4 through line 6j (7)
Total value (line 3 p�s line � (g)
1 hereby certify lhe above is trUe. correct, and Signature of Assessor Date signed
complete.
�fying action - Signature of Audiror Da:e signetl
- . STANDARD DEDUCTION ALLOWANCE
19_Pay19_
Lesser ot 7/2 Homestead
Valuation or 52,000 5
SignaWre of Auditor Date signed
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