Homestead_Hirsch..F�•=.
e� "°„ CLAIM FOR HOMESTEAD PROPERTY TAX
���� CREDIT/STANDARD DEDUCTION
.�,;;�� State Portn Sa73 (F2 / 5-92)
�au
INSTRUCTIONS: See reverse side lar liling instructions.
� . �� 1�
APR 2 � 1993
YEAR
(1��-�-�,�I��L HUV���+"
1 1We) . �'�� � IT (/( �OC.,d \� certify� that on the 1 st day of March, 19
�-) occupied as our principal lace of residence the fo ing described real property for which a Homestead Property Tax Credit is hereby claimed:
u I(We) owned ❑ Are buying under coniract ,.
❑ Have a beneficial interest in ihe entiry ihai is liable for ihe property tanes on the property and that owns ihe property or is buying under a contraci.
� � . CONTRACTRECORDED - - � •
It buyinq on contraci. Fee Simple owner s name - �
Recordefs ottice where wntract is recorded qecortl number Page
Counry
Township . _ _
DESCRIPTION
rown,
Parcel number Legal tlescription
�S-r�o`� 3q - o c� � �� 5.�,- 1 D- 3-1 ►�.CX
If any portion of the residential stmaure or the land not exceeding one (7) aae [hai immediatey surmunds that structure is used to
oi the property utilized to produte income.
i�ICOmC. dCSCribE IhE u5E d!W POrtiOn
PROPERTV OWNED BY CLAIMANT IN OTNER COUNTIES �
County Township Counry TownShip
eby certify the above stalements are we, correct and complete. Sig a; re ot ' ant �
�
..otlress (number and srreel, ciry, state, ZIP oode)
ASSESSOR USE ONLY - TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL,
� VALUE VALUE VALUE VAWE
Land not exceeding 7(one) acre immediately
surrounding residential improvements. (�) '
Oiherland (p�
Total land (line 1 plus line Z� (3)
Dwelling (4) �
Residential improvements .
Garage (g)
Other improvemenis (6)
Total improvements (line 4 through line � (7� ( -
Total value (line 3 p�s line 7� (g)
I hereby certify ihe above is lrue, correci, and Signamre of Assessor Date signed
complete.
yirg aGion - Signa;ure of Autlitor Date signed
� � � STANDARD DEDUCTION ALLOWANCE "
19_Pay19_
Lesser of 7l2 Homestead
Valuation or 52.000 S
Signatme of Audi.or Date signed
__ L� � _ �