HomeMy WebLinkAboutHomestead_BatdorfCLAIM FOR HOMESTEAD PROPERTY TAX oRM Y
CREDIT /STANDARD DEDUCTION
S f State Form 5473 (R4 I MO)
SEP 0 5 7nnl
INSTRUCTIONS: See reverse side for filing instructions. 2 _
I (we) ' that on the 1st day of March, 20_
1 (We) occupied as our principal place of residence the following described real property for which a Hom ad Property Tar Credit is hereby claimed:
❑ l(We)owned ❑ Are buying under contract
'-lave 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.
'.i.a'�• NSRACTR_ECORDED^3.�'1 -� `�' "� "t •_,.�"g''..L
It buying on contract Fee Simple owners name
Recorders office where contract is recorded - _ Record number Page'
`'- lPPOPERTY[D-ESCRIFIIONs-
'rz,,,u -,
County
Township Taring tlLSViot (City, town, township)
Par
I — /1
Legal description _
If any portion of the residential structure or the land not exceeding one (1) acre that tramedif tey surrounds s ure is used to produce income. describe the use and portion
of the property utilized to produce income.
-
Land not exceeding 1 (one) acre immediately
-W
PRO PERTYr,O,WNEPi BY CLrAI
-MANT IN.OTHER'CO'U_N_TIES tw. - "''bk" ''a�`` /� _` � "' i q k"•°
County - Township ,.
County. Township
I hereby certify the above statements are We, correct and complete.
Signature of aimant
Address (nu er not street A fate. LP code)
w ASSESSORtUSE{ONLY
114
+R VETAX
t• 'WE
ASSESSEDdVALU$
Q�..R�..
aHOMESTEAD, _
..n'�`��3 NONtRES7�ENTR
r;dV'- ALOEaxe"s.+
iAT.'100Yo'OF {Tf�
.�yVyALa,UE
y� i �zn sV.ALUE °_a, .
Land not exceeding 1 (one) acre immediately
-W
Signature of Auditor
a $._
surrounding residential improvements.
(1)
_
A
�.�'.i.R uC
Other land
Total land (line 1 plus line 2)
(3)
Dwelling
;:�,,'
Residential improvements
(4)
-.#,R- f*'•a
Garage
;1 A
--
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (fine 3 plus line 7)
(6)
1 hereby certify the above is We, correct, and
Signature otAssessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
•STWID RD DE DU CTIONrALLOMVANCE� -'?:
.�..__ ..-- ---
20 Pay 20_
Lesser of 12 Homestead
$
Valuation or $6,000
Signature of Auditor
Dat ql= It
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