Homestead_Marvellt,,. n.,, .
e� �, CLAIM FOR HOMESTEAD PROPERTY TAX
����� CREDIT/STANDARD DEDUCTION „
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INSTRUCTIONS: See �everse side /or7iling instructions.
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e) ��(�l/�N.l�Y �/� )- `-� �( Q h�W" certify that onthe lst day of March. 79�
e) occupied as our principal place of residence the following desaibed real property for which a Homesiead Property Tax Credit is hereby claimed:
I(We) owned ❑ Are buying under contract , - .. _
Have a beneficial interest in the entity ihat is liable for the property taxes on ihe property and ihat owns ihe property or is buying under a contract.
- CONTRACTRECORDED . . � .
IIt buying on coniract, Fee Simple owneYS name � - .
Recordefs oRice where conirect is remrded Record number Page
�
Parcel number Legal de�
005- b19��-ao
If any portion of the residential sirucWre or the land not
ot Ne pmperry utilized m produce inmme.
-/�-o%
PROPERTY DESCRIPTION �
, Tazirg district (ciry, town; rownship)
"`-� I �� — /� . , / � o�� � �C�Y
one (1 � acre that immediatey surrounds ihat swaure is used ro produce income.
- �/. 9�G- � �/
Ne use and portion
ASSESSOR USE ONLY - TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL.
. VALUE VALUE VALUE VALUE - �
Land not exceeding t(one) acre immediatety
surmunding residential improvements. (�) � '
Otherland (2)
Total land (line 7 plus line � (3)
Dwelling (a) ,
Residential improvements
Garage - (g)
Other improvements (6)
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � , (g)
I hereby certify the above is true, correct, and Signamre of Assesmr Date signed
complete.
=ntyirg aMion - Sgnature of Auditor Date signetl
19_Pay79_
Lesser of tl2 Homestead
Valuation or 52,000
STANDARD DEDUCTION AILOWANCE
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