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Homestead_Mauck (4)�l if`�)I
e� °'; CLAIM FOR HOMESTEAD PROPERTY TAX
a��= CREDITISTANDARD DEDUCTION
,�;,'� State Form 5473 (R2 / 5-92) - .
�^ 1
au
INSTRUCTIONS: See reve(se side lor liling instructions.
, � ' - � � _ . roonn�nr�t
� FORM YEAR
lJl.l � � �996 '
� �we) \ /1 certify U�406rDFNIL�!11'���y;�10�1Ett;'19
�!) occupied as our principal place of residence ihe tollowi d cribed real pmperty tor which a Homestead Property i�Y ti��l�ereby daimed:
❑ 1(We) owned �re buying under coniract � �
❑ Have a beneficial inierest in the emiry ihat is liable br the property taxes on.ihe property and that owns the property or is buying under a contract.
Counry
Parcel number.
I( any� 5 _
e
Z 3� -cm I
iential structure or the land
> produce income.
-/% G� i
PROPEHTY DESCRIPTION
. � � � Ta "ngr dis[rict (ciry, rown; mwnship) � . ' -
7�/ /�Yl�
.� a,-��.�.� � Od���3 / �3 �
I acre that immediatety surrounds that suucture is used ro produce u
Ne use and portion
PROPERTY OWNED BY CLAIMANT IN OTHER�COUNTIES � -
Caunry Township Counry Township
�eby certify the above statements are true. Correct and CAmplete. Si re of Gaimani _
/ S�.
Atldress (number and sfreet, ciry, state, ZIP code)
ASSESSOP USE ONLY .- TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
� VAWE VALUE VALUE VAWE
Land not exceeding 1(one) acre immediately _—
surrounding residential improvements. - (�) . �'
Oiherland (p)
Total land (line 7 plus line 2� (3) �
Dwelling (4) .
Residential improvements
Garage (g) "
Oiher improvements (6)
Total improvements (line 4 through line � (7)
Total value Qine 3 p�s line 7� �g)
I hereby certify ihe above is tme. wrrect. and Signamre of Assessor Da�e signed
complete.
��ing aaion - SgnaNre oi Autlitor Date signed
19_Payt9_
Lesser of 1/2 Homesiead
Valuation or 52.000
S
ALLOWANCE
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