Homestead_Cooper (2)CLAIM FOR HOMESTEAD PROPERTY TAX �—{ JE
CREDIT /STANDARD DEDUCTION 1
scat Form 5478 (Ry / 5-M
Presvbed by the Depmtrtenf of Local Gosmierd Frmioe FEB 2 8 2008
INSTRUCTIONS: See reverse side for Ring instructions.
1 (We) ( ceihy that on the 1st day of Mardi, 20
111 (We) ocwfied a& principal place of residence the following described real pnipAty tar whidn a Homestead Property Tax Credit is hereby claimed:
I (We) owned ❑ Are buying undo contrail
Have a beneficial interest in the entity that is liable for the properly taxes on the property and that owns the property or is buying under a contract.
. -.t . -. /.. f. : ( .W{ r .r S\ CONTRACT, :RECORDED
t burying on mhbact. Fee Simple owners name
Recorders ef5ra where contract el reowded Record number Page
rG •n: in '.'.. .,), • ". •... -- 1 _.�1'. '•J
PROPERTY DESCMPTI 4 •.r
� .� /lit :•./ Il l t.....i�. �'yih Ftr [ref ire r
Canty
Township
I hereby notify the above staternerds are hue, carted and complete-
T d' ( Mw i. t
') '
Parcel number
L
x.�
Land not exceeding 1 (one) acre immediately
(teal PmPorty ❑ Mobib Home (W. 61.1 -7
If any portion of the residential air mre a the IoM nil exceeding are (1) eve dud inmedialely sumxanda that str&Awe
is used to produce iimme. desabe the use and portion
of the property utif®d to prod" irmme.
/'n
O a
/(
(�
• .- .:, :PROPERTY OWNED sr .cLarnNra 'onfsecouxms /! =•'" ,.,4.i.�'.., :.�.�m >`��,
County
Township
County
Township
I hereby notify the above staternerds are hue, carted and complete-
of datmard
orrtor ,slab. code)
+'
TAX
cTRUE. r
-SSEDVALUE
ASSF
+Fi01NESTEIOD
.'' arNON QNTIAL"�tr''�
ASSESSOR USE ONLY -
S
"AT 100%OF TTV
.VALUE t
P - YALIIEn rs
x.�
Land not exceeding 1 (one) acre immediately
surrounding residential improvements-
Other land
(2)
/ ii•A
Trial land (tune 1 plus Tune 2)
(3)
DweRrng
(4)
�h -Sf fr o-4 rC liL'F S?t
Xr'
Residential - improements cr Annualty
"` r k'� }?„'.s• �' T'?
Assessed Mobile / ManufarLred Florie
Garage
? "e4 °f`
(5)'Gh,t
Other improvements
(6)
i ' , •. ?1 ;�,- ;` ;:.i
Trial biiprovertnerts (lairs 4 Uwough line 6)
(7)
Tdal value (lure a like dine 7)
(8)
I hereby certify the above is true, cortecL and
complete.
Sigrebre of Ass®a
Date sigried
Vorify'mg action - suiet re of k ator
Data signed
- t, :STANDARD DEDUCTION ALLOWANCE 'i ;; -;tit
20 _ Pay 20
Lesser of 12 Homestead
Valuation or $35.000
S
Squitt eofAuditor
Dale sUned