Homestead_Parker� CLAIM FOR HOMESTEAD PROPERTY TAX
�� CREDIT/STANDARD DEDUCTION
State Form 5473 (R2 / 5-92)
'i�J
INSTRUCTIONS: See reverse side !oi /iling instructions.
.. . � � . . ,.-,n�� - . � .. -.�- n��:r.Farc�cen
FORM
HC10
I �
YEAR
Ne) � � i�./ � � certify that o the 7 st day f�M rch, 79
�'rT � :,, �n p —
Ve) occupied as our rincipal ptace of residence ihe following described real property for which a Homestead Propewy�nax &edit i�by daimed:
❑ I(We) owned ❑ Are buying under contract � i � �-, ��
/ ,
❑ Have a beneticial interest in the entity that is liable for the property taxes on the property and that owns th�propecry or:is buying'under-a'contract.
fr-ic�c�• _
� � __ . CONTRACT RECORDED� -. - �;� ' - - - ��.• -° -�,' `.
If buyirg on coniraci. Fee Simple ownefs name
Recorder's oHice where contract is recortled Record number Page
� "- . -- . PROPERTYDESCRIPTION � . ..... � � , � g.. . ..: _. . .-
Coun Township Ta�cing distdd (cdy o to_wnshi )�
�lill.%
� ys.el rWm¢p= �� Legal description � —� _ /� / �
U �S 3 S 7 -
It any portion of ihe residenfial struaure or ihe IaM no� ezceeding one (7) aae that immedia.ely surrounds ihat swc[ure is used to produce income, deuribe the use arW portion
of Ne property utilized to produce irxome.
� �l /7- //-/DO - Q6,.3. S��% O�-/ �
. ASSESSOR USE ONLY �� TRUETAX ASSESSED HOMESTEAD : NON-RESIDENTIAC:�',
., - VALUE VALUE VALUE � VALUE �
Land not ezceeding t(one) acre immediately � . �� -
surroundingresidentialimprovements. (�) � � �� �"' �
Oiher land (2) .
Total land (line 1 plus line Z� (3)
Dwelling (a) - : •
Resideniial improvements . .
Garage (g) � ` - '
Oiher improvements (6)
7otal improvements (line a througb line � (7)
Total value (line 3 p�s line n (g�
. I hereby certify ihe above is [me, CorreCt, and Sgnature ot Assesmr Date signetl
complete.
�rityirg action - Sgnamre ot Auditor Date signed
i
19 Payt9_
Lesser of 7/2 Homestead
, Valuation or $2.000
S
-da-�� I �