HomeMy WebLinkAboutHomestead_Frankline`�/ "�`°� CLAIM FOR HOMESTEAD PROPERTY TAX - PoRM YEAR
���`� CREDITISTANDARD DEDUCTION �C�,O,� �
. `� State Portn 5473 (R2 / 5-92) ' /
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INSTRUCTIONS: See reverse side !or /iling instructions. . � �
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' CERTIPICATION STATEMENT - ' - ` '
��'�"�°) �(JC7j� ��,QinJYI / e�,4/rL/�f�.L'3L� certify ihatd�n�the,,35t u�y of,�yt�
occupied as our principal place ot residence ihe following described real propeny for which a Homestead Property Ta����T���med:
We) owned ❑ Are buying under contraci . . .
I❑ Have a beneficial interesi in ihe entity that is liable for the property taxes on ihe property and that owns the property or is buying under a contract.
� � CONTRACTRECORDED - � �
If buying on contraq, Fee Simple owner's name � � . � �
Recordels o8ice where contraa is recorded Record number Page
Caunry
Township
Parcel number Legal description
OD5-o�513-00 ��-t 3 9 r�;t
Ii any portion ot the residential strucwre or Ne lantl not exceeding one (1) aae that i
of Ne pmperty utilizetl ro pratluce income.
DESCRIPTION
Ta�ci� dislrici (city, town, township)
0
surrounds that strucNre is used to produce ir�come, Aescribe ihe use and ponion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Counry Township Counry Township
�:by certify the above statemenis are true, correci and complete. Siqn c ot Uaimam� �
Atldress (number and streeG �ry. state, ZIP code)
�' N l - S�;L.c.� riu �t� 66S
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
land not exceeding 1(one) acre immediately �
surrounding resideniial improvemenis. (�)
Otherland (p)
Total land (line 7 plus line 2� (3)
Dwelling (4)
Residential improvements
Garage (g)
Other improvemenis (6)
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g)
1 hereby certify ihe above is irue, correct, and Siqnamre of Assessor Dare signetl
complete.
�g action - SignaWre of Auditor Date signetl
�
STANDARD
19 Pay 79_ I
Lesser of 1/2 Homestead
Valuation or 52.000 S