Homestead_BullockI
CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION F oRAI1
sri
State Form 5473 (R7 /!',M
Preeo;bad by l e Depemment of Loral Comm"d France APR 2 5 2008
INSTRUC77ONS., See reverse side for filing Instructions.
.n. .. ..:.. cErrnPlcaTloNSraTOItET+r: •y,• rt
(r',�•11qq����N COUNTY AUDITOR
I (We) certifylFial on the 1st day of March. 20_
I (We) pied as our principal place of residence the following described real property for which a Homestead Property Tmr Credt is hereby claimed:
�. I (We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is liable for the property fazes on the property and that owns the property or is buying urder a contract
_ s:'. i :'. • . COHTRACT.RECOF2DED i.:';. e7u• n `t h i (� : ;i 7�/..7.�..r
a Wyohg on corrh Fee Surple owners reme
Recorders ofka, where contract u recorded Record number Page
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PROPERTY .DESCRIP,TION N;
Cindy
Towrshdp
1eang district (ray, Imm, township)
Parcel number
Legal description q 91 AC
H tKpropeny in :
:arty
>` VALUE.?,
&
❑ p o ❑ Mobile home (.C. 61.1 -7)
arty portion of the residential structure or the net exceedrg one (1) son, that inmadddy surrounds tlel structure is used to prochm morne, describe the use ant portion
the prapady ndi0md to Produce unorre.
LIZ
ov0. e938 -0-L/
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County
Twnship
County
Township
I hereby certify the above statements are true. cured and crmpleta.
d
:AT 100%QF T7V„
>` VALUE.?,
(nur ber and street city, stall, ZPP
3a -7-2 5 tN 4-7(070
d - .w °t
TRUE TAX
fLSSESSED VALUE
INSTEAD
y i� NON41WSIOEIIIAL ��t
.. � ASSESSOR USE ONLY �, N
-'�
VALUE,(
:AT 100%QF T7V„
>` VALUE.?,
,
>.4p�,y,. *•?VALUE
.tai lwas .`' ,•� ;. {
,
Date s
Land not exceedng lone) acre immediately
1
Nf f
sarounding residential improvements.
v>, i
Other lard
(2)
�,�' �•�r�}rsc § :tT;
Trial land (lyre 1 plus tare 2)
(3)
rig
(4)
y �vrrcr -.t `Y gay
Residential ihrprovernents or Annually
r£,y,!af.,,"' ..?�hS wl :h'�
ASSa55ad Alobde / AAarwferdued Ftonhe
Garage
rr «,A+iti }X /!„_r/'���•�5,
tfw�uY/l+.
(5)
aJ-
Other mTrove nents
(6)
Trial i nprovemems (fine 4 through fine 6)
(7)
Total value (1urre 3 plus fine 7)
(S)
I hereby certify the above is true, corned, and
complete.
Signature of Assessor
Data signed
Verifying action - S9neture of Audrto
Date signed
- , ., sTAmDARD.DEDUCTION ALLOWANCE
20 _ Pay 20 _
Lesser of 12 Homestead
$
Valuation or S35,DDO
Sgnatise of Auddn
Date s