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e%^� CLAIM FOR HOMESTEAD PROPERTY TAX
a'�� CREDIT/STANDARD DEDUCTION
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INSTRUCTIONS: See reverse side 7oi liling insrructions.
FORM
HC70
YEAR
I' � �U:��
e)�� �'�"' f�t � cenify ihat on t e 7 sl day o arch. 79
.) occUpied as our principal place oi residence the followi described real property tor which a Homestead erty 7ax dit � hereby claimed:
`� �. �y�,�y-s
❑ I(We) Owned ❑ Are buyfng under contrati a��piTpR
❑� Have a beneficial interest in the entity that is liable for the property taaes on the properiy and that owr.s the property or is buying under a contrect.
CONTRACTRECORDED �
If buying on conttacl. Fee Simple owner's name
Recorder's ottice where convact is recorded Rewrd number Page
County
rownsnip
PROPEflTY DESCRIPTION
lown.
Pa� number ��� I Legal tlescription �� �� �
r� a� �'-3 c� • l
If any pornon of tne resitlential stmcmre or ihe land not e.ceeding one 171 acre that immetliatety surrounds that strucwre is used ;o protluce income, tlescribe the use and ponion
ot the propeny milizetl to produce income.
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ASSESSOR USE ONLY TRUETAX ASSESSED HOMESTEAD NON•RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immedfately I, ' I I
surrounding residential improvements.
IOiherland (p) �
Total land (line i plus line 2� (3) I I
Dwelling (a)
Residen�ial improvements
. Garage (5) I
Other impiovements (6)
Total improvements (line 4 th�ough lina b� (7) I I I
ITotal value (line 3 p�s line � I 181 I
1 hereby Certify ihe above is Vue. correct, and Signawre of Assessor I Date signetl
complete.
-,l�ying action - Signawre of Autlimr I Date signed
�
19_Pay79_
Lesser of ll2 Homestead
Valuation or 52.000
SgnaWre of Autlitar
STANDARD DEDUCTION
3