Homestead_Hale�^ � CLAIM FOR I IOMESTEAD PROPEFiTY TAX
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;f' � CREDIT/STANDARD DEUUCTION
•.;�}�� Slale fomi 5�73 (fl2/i-9�)
"" ` lNST�fiUC170NS: See reverse side (or 41iny insfruclivns.
ri`�CEf1TIPICl1110�J STATEMEIJT
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I(We) �'Yl�_, '�- � ��'`�terlily Ihal on llie isl day ol Maich , 19 ��
I(We) occupied as our principal place of residence Ili I� described real propei ly for whicli a l Iomeslead
P�operly Tax Credil is hereby claimed: �I (We) owned ❑%1re buying w�der conlracl
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� Flave a beneficial inleresl in Ilie enlily Ilial is liable Ior Ilie piopeily laxes on Ihe prope�ly and Ilial owns Ihe
propeity or is buyiny il under a coiiliaci.
on conlract,
iere
COPJTf1ACT RECOfiDED
Name
recoided
Legal
PROPERTY UESCfiIPTIO�J
—� Taxinq IJislricl
(.t� G]—
lown,
Paye
II any porlion ol Ihe residenlial sbudure or Ihe land nol exceediny one ( I) acre Ihal inunedfalely sunounds Ihal sliuc�
luie is useJ Io produce income desciibe Ilie use and poilion of Ihe p�operly ulilized to pioduce income.
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PFIOPERTY OWIdED BY CLAIMl1NT IN OTItER COUNTIES �C1° I�bo
ASSESSOf1 USE 017LY i(1VE TA% VALVE ASSESSEO VALUE IIOMESTEAD VALUE N017-IlES1IlE1lIIAL
VALUE
Land noi exceeJing I(one) acre hnmedialely
surrounding residenlial improvemeids � � 1
011ier land (2)
Tolal land - line (1) plus line (2) (3)
flesidenlial improvements Dweliing (4)
Garage (5)
011�er improvemenls (6)
Tolal improvements - line (4) thiough line (6) (i)
Tolal value • line (3) plus line (7) (8)
I hereby ceilily Ihe above is Irue, S�gnaWre ol /lssesor Dale Siyned
correci, and compleie _
Venlyuig clion - S�gnalure o Audilor LJale Siyned
1989 Pay 1990
Lesser ol 1/2 I lonieslead
Valualion or $2,500
STANDl11iD DEDUCTION ALLOWl1NCE
1990 Pay 1991 1991 Pay 1992 19—Pay 19—
Lesser ol t/2 I lomestead Lesser ol t/2 Flomeslead Lesser ol 1/2 Flomeslead
Valualion or $2,000 Va�ualion or $1,�00 Valualioii or $ I,500
Signature ol Auditor /� � /' \ I �a'�''yj'� �
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