Homestead_Jones (3)`���•� CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
ie } CREDIT/STANDARD DEDUCTION HC�o
,� ,�` Siate Form Sa73 (R2 / 5-92) �� � aQ� t
INSTRUCTIONS: See reverse side !or liling inshuctions. p,��� �; y';j, _
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��We) . _ . �tiB tl�i`�n �t day of �March, 19
Ve) occupi s our principal pla ol residence the following described reat property tor which a estead Property Credit is hereby daimed:
❑ I(We) owned ❑ Are b ying under contract
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❑ Have a beneficial interesi in the entiry that is liable for the property taxes on ihe pmperty and• KaiQtg$Qhe : opa, �or�s�� der a contract.
. �c , r: • : . �:CONTRACTRECORDED '. _ . , i : . � ri . .
If Wying on contract, Fee Simple owner's name
Recortler's oflice where contract is recorded Record number Page
- ' �PROPERTY-0ESCRIPTION - ��' ? � �
Counry Township Taryng district �dry, lown, township)
Parcel number I Legal description
i�n� _a6 33� - w
II any portion of Ne resitlential sWCture or the land no� exceeding one (1) aae [hat immediatety surtounds Ihat siruaure is usetl to produce income, describe the use arM ponion
of the property utllizetl to produce income.
I �/_ �� �9_ �� - oa�. 3.�� - o�-� I
' ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL�: -�
� VALUE VALUE VALUE ' VALUE �
Land nm exceeding 7(one) acre immediatety . �_� ' �
surrounding residential improvements. (�) � ` � "
Oiherland (p) - .
Total land (line 1 plus line 2� (3)
Dwelling (q) . , � .
Residential improvements .
Garage (g) ..
Other improvements (6) �
Total improvements (line 4 through line � (7) I
Total value (line 3 pUs line � (g)
I hereby certify ihe above is true, correCL 3nd Synature of Assessor Dare syned
complete. �
ntyi�g action - Sgnanre of Audiror Date signetl
19_Pay19_ I
Lesser ot 7l2 Homestead
Valuation or 32.000 $
of Auditor � Date signed