HomeMy WebLinkAboutHomestead_Martin (6)aE ��� ; CLAIM FOR HOMESTEAD PROPERTY TAX
a,��� CREDIT/STANDARD DEDUCTION
�:;;�� - State Form 5473 (ii2 / 5-92)
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INSTRUCTIONS: See reverse side Iar tiling instructions.
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HC10
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I(We) �� � V. °�- v.�►U�Y.l.O.+ V. •�� l. o� cenify� that on the 7 st day of March, 19�
�4We) occupied as�principal place of residence the f' wing described realproperty for which a Homestead Property Taz Credit is hereby daimed:
I(We) owned ❑ Are buying under contraci � �
Have a beneficial 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 buying on contract. Pee Simple owner's name . �
Recorder's oflice where mntract is reCOrded ReCOrtl number Page
Counry
PROPERTY DESCRIPTION -
� Taxing dismct ry, row1q townshlp) �
. �Jr�_ _ • . ,
Pareel number Legal description �J
� � �, � � �� -�n �-w N�� y�r �� - 3- i � . i �-c
It any portion ot the residential structure or the lantl not exceetling one (�) acre that immediatety wrwunds that strucNre is used to produce i�ome, tlescribe the use and portian .
ot Ne pmperty uUlized to protluce income.
D y D�/
ASSESSOR USE ONLY THUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL
� VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately
surrounding resideniial improvements. (�)
Otherland (2)
Total land (line 7 plus line7� (3)
Dwelling (4) .
Residen�ial improvemenis
Garage (5) - �
Other improvements (6)
Total improvements (line 4 fhrough line � (7)
iotal value pine 3 p6s line � -(g)
I hereby Certify the above i5 IrUe, correct, and Siqnawre of Asseswr Date signed
complete.
Verirying action - Signature ot Autlitor Date signed
- STANDARD DEDUCTION ALLOWANCE -
19_Pay19_
Lesser of 1/2 Homestead
Valuation or 52.000 S
Signature ol Auditor Date signed
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