HomeMy WebLinkAboutHomestead_CattCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
State Foan 5473 (R7 I SM
Prescribed by the Departrn of Lamal Governinard l'inanca
INSTRUCTIONS: See reverse side for Ring instructions.
I (We) certify thai on Cne 1st day of March, 20_ of residence the fogowirg described real properly for which a Horresblad Property Tors Cradil is hereby claimed:
H benefilal 1Y under a contracL
C0611
IRACT41E i?+ U
If buyng on cmtracl Fee Simple owners mm
Racurdees office where contrad is ream Record number Page
PROPERTY DESCM PTloq' m;
TRUE TAX
Curdy
Township
di - (
Township
Aj
Valuation or S35.000
-
Ift (n—g-
Pamel nurnber
A
L mQ
Real V
preimty(/ ❑ Mobilelilorne(I.C.6-1.1-7)
P"r
(1) eCna that irnffWdieldy Mffr0LffKbB 0181 P(&-
m used to produoe iw . demmbe the use and portion
of th.IW7p ublized to pyc�p a,
GAV
Ar:
,'0ko0ERTy.owmlJ sy.mmmwr ik'oTWER COUllfflES'.
TRUE TAX
County
Township
County
Township
I hereby certify the above slatmnents are true, coned and cornplete-
Valuation or S35.000
Ift (n—g-
Date signed
iwzubl
Z
TRUE TAX
"IS64ALdi
ASSESSED
Lesser of M Homestead
MAL
.'A��(JSECWLY
Valuation or S35.000
,,kON _ _
Date signed
'Y.y
Land not exceeding I (one) acre inw*dmb*
Ar:
Sunourtdalg residential mVrovern ants-
6
9XV .
Offm land
(2)
Trial land (Ikm I plus &m 2)
(3)
Dwelling
(4)
Residential ampromnents or Annually
U 'All
Assessed Mobile I Manufactured Home
Garage
10,
,p
Other improvements
(6)
Tdal uVruverrmaids (fm 4 through fine 6)
(T)
Thal value (fine 3 phz fine 7)
(8)
I hereby certify the above is true. oorrem and
cornplete-
Signatuna of Assessor
Date ao*d
VetpV adjon - Svmhwe of PAxamr
El.b sued
STANDARD DIMVFMAL.LO C:Eir
20_Pay2O_
Lesser of M Homestead
Valuation or S35.000
sq ere of Aamor
Date signed