HomeMy WebLinkAboutHomestead_Naas(�[� '`�!
e/ g CLAIM FOR HOMESTEAD PROPERTY TAX
3��!E CREDIT/STANDARD DEDUCTION .
. .�� ,` �� Slate Form Sa73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side !or liling instructions.
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R YEAR
�� Hc�o 995
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UDITOR�
II(We) � V � Q,Qi�.. certify ihat on [he 1st day of March, 19_
I�We) occ d as our principal place ot residence the tollowing described real property foawhich a Homestead Property Tax Credit is hereby claimed:
� � I (We) owned ❑ � Are buying under contrect . . . .
IL7 Have a beneficial interest in ihe entiry ihat is liable for the propeny taxes on the property and that owns the property or is buying under a comract.
CONTRACTRECORDED �
tl buying on contraci, Fee Simple owner's name ,, , ,
Recorder's oflice where wntrac� is retorded Record number Page
� � � � PROPERTY DESCRIPTION � � �
Counry Towns ip . Taxing di5�ric� (ciry, town. fownship) -
Parcel num6er Legal descdption
� p.fl
If any portion of the residential stmcture or the land not exceetling one (7) acre that i metliarety surrounds that structure is used to produce income, describe the use arW ponion
of the pmperty utilized ro produce income.
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- �,.t �I, h'., 9/., irn �-# �KS n 3q.3�-cd
PROPERTV OWNED BY CLAIMANT IN OTHER COUNTIES
p County
certify the above statements are true, correct and complete.
(number and sVeeG ary, state. ZIP code)
ASSESSOR USE ONLY.
Land not exceeding 7(one) acre immediately
surrounding residential impmvements.
Otherland
Total land (line 1 plus line Z�
Dwelling
Residential impmvements
Garage
Other improvements
Total improvements (line 4 througb lina �
Total value (line 3 p�s line �
I hereby certify the above is true, correct. and
complete. .
19_Pay19_
Lesser of ll2 Homesiead
Valuation or 52.000
oi Audi;or
TRUETAX ASSESSED
VALUE VALUE
(�)
(Z)
(3)
(4)
(5)
(6)
l�)
(8)
Signature ofASSeSSOr
STANDARD DEDUCTION
5
HOMESTEAD
VALUE
Township
NON-RESIDENTIAL
VALUE
Date signetl
Date signed
Date
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