Homestead_Parrish�E .,•n
e� °4 CLAIM FOR HOMESTEAD PROPERTY TAX
a��'� CREDIT/STANDARD DEDUCTION
,�,` � State Form 5473 (R2 / 5-92)
�si:
INSTRUCTIONS: See reverse side (or filing instructions.
1 ' i � �
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I � . . �� ���
JUN 41993
�'We) _r!/fK,�' .� �/ i((//��( / � certify ihat on the 1st day oi March, 79_
�) occupied as our principal place of residence the following described real property for w� a Homestead Property Tax Credit is hereby claimed:
i(We) owned ❑ Are buyinq under contract �,...I I-�
❑ Have a beneficial interest in the entity that is liable for ihe property taxes on the property and ihat owns the propeny or is buying under a coniraci.
tl buying on contract, Fee Simple owner's name
Recorder's oRice where contract is recorded
Counry
If any portion of
of Ne property i
CONTRACTRECORDED
Fecord number
- PROPERTY DESCRIPTION -
Tmvnship _ ., T�ing tlistnci (ciry, tawq township)
Legal tlescription
' O �Ss- - - S� O
:itlential stmcwre or the land not exceeding one �7) aae that immediatety wrwunds that structure is used [o produce income.
to produce income.
Aio—�
//
the use and portion
ASSESSOR USE ONLY . TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
� � VALUE VALUE VALUE VALUE -
Land not exceeding 7(one) acre immediately
surrounding residential improvements. (�) -
Otherland (Z)
Total land (line 1 plus line 2� (3)
Dwelling (4) _ I � .
Residential improvements
Gara9e (5)
Other improvements (6)
Total improvements (line 4 through line � (7) I
Total value (line 3 p�s line 7� (g)
1 hereby cenify ihe above is true, correct, and Signature ot Assessor oate signea
complete.
��fying action - Signamre ot Auditor Date signed