HomeMy WebLinkAboutHomestead_Mulvaney�E n��
a� q CLAIM FOR HOMESTEAD PROPERTY TAX ._
���'� CREDIT/STANDARD DEDUCTION, -
J.�;,;�� State Porm 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side 7or /iling instructians.
occupied as our principal place of residence the following described real pmpeny forjFi6ich a
FORM NEAR
HC70
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thai on the �Ss(t day of/M1ar , 19
�ropert�i TaKL%redit igMere claimed:
�J I (We) owned ❑ Are buying under contract � � � �,;�� G`!���y; �' '�' `;?!TOR �
❑ Have a beneticial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under.a contract.
- „ - � � - � � - , �CONTRACT RECORDED � ' - �
If brying on coniracC Fee Simple owner's name . . . �
Recordets oflice where contract is recorded Record number Page
PROPERTY DESCRIPTION
. • � Township
Farcejtiurtlbey.-0����-UI legal tlescri io � � ^ � / � -.3 - la� /. O � �/ I � .
lJU✓ �
It any portion ot fhe residential sWCture or ihe IarW not exceeding one (7) aae that immediatey surrounds that struc[ure is used Io produce income. descnbe Ne use and portion
ot Ne pmperry utilized ro produce income. .
�/ii /./ ��';'�
PHOPERTY OWNED BY CLAIMANT IN
p Cauniy '
certity the above statemenis are irue, correct and complete.
ciry. state. ZlPCOde)
COUN'fIES
Township
ASSESSOR USE ONLY , TRUE TAX ASSESSED HOMESTEAD . NON-RESIDENTIAL. .
VALUE VALUE� VAWE VALUE . .
Land not exceeding 1(one) acre immediately
surrounding resideniial improvements. (�) �
Otherland (p) .
Total land (line 1 plus line Z� (3)
Dwelling (4) �
Residential improvements
Garage (5� _ '
Other improvements (6)
Total improvements Qine 4 through line � (7)
Total value Qine 3 pbs line 7� (g) � I
I hereby certify ihe above is lrue, CorreC�, and Signamre ot Assessor Date signed
complete.
,`�tying action - Sgnature ot Auditor � Date signed .