HomeMy WebLinkAboutHomestead_Hardiman�a v��
�a a CLAIM FOR HOMESTEAD PROPERTY TAX .
i���': .CREDIT/STANDARD DEDUCTION
�,��� State Porm Se73 (R2 / 5-92)
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INSTRUCTIONS.'See reverse side tor liling instructions.
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FORM
HC10
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YEAR
I e)/ � � � / . certify that on the 75t day ot March, 19_
) occupied as our'pr cipal place of residence ihe following described real propeny for ivhich a Homestea operty Taz Gedi hereby claimed:
L� I(We) owned ❑ Are bupng under contract - � ,� �� 0
/
- � �lacnal ��:;. -�, ._...-„ ^ "'i
0 Have a beneficial interesi in the entity that is liable for the property taxes on ihe property and that owns ihe property or is buying under a�t�ntract.
� - •- - . - - -0ONTRACT RECORDED • ' � �
If bu}�ng on contracf, Fee Simple owner's name� - . � ' .
Recorders oHice where convact is recortletl Record number Page
_ �1
Townsttip
DESCRIPTION
Tauing distn'Li7
P'��0�-0�009 � ���`%� � /�•�_ �O 'o� l� ' �%� %�}�
If any portion of the residential structure or the land not exceeding one (1) ave that immetliatety surmunds thai structure is usetl ro protluce income, tlescribe Ne use and portion
ot the pmperry utilized to produce income. . ,.
' � PROPERTY OWNED BY�CLAIMANT IN OTHER COUNTIES -
Counry Township Counry Township
�aby certify ihe above statements are true, cnrrect and complete. Signat ot d ant
i
Address (num6erandsbeeL ciry. state. ZlPCOde) �
!0 ( ft/`�U Qc �i F/ �c/ e
ASSESSOR USE ONLY TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL
- - - VALUE� VALUE . VALUE VALUE
Land noi exceeding 1(one) acre immediately
surrounding residential impmvemenis. (�) �'
Otherland (p)
Total land (line t plus line 2� (g)
_ Dwelling (4) -
Residential improvements
Garage . (5)
Oiher improvements (6) � .
Total improvemenis (line 4 through line � (7)
Total value (line 3 pUs line � (g)
I hereby certify Ihe above is [rue, Correcl, and Signawre of Assessor Date signed
complete.
Verifying action - SignaWre of Autlitor Date signed
19_Pay19_
Lesser ot t/2 Homesiead
Valuation or 52.000
STANDARD DEDUCTION
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