HomeMy WebLinkAboutHomestead_Kruegeraa� "'� � CLAIM FOR HOMESTEAD PROPERTY TAX
;�_��,o�+� CREDIT/STANDARD DEDUCTION
,��e�.,.,.� Sta;e Form 5473 (R2 / 5�92)
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INSTRUCTIONS: See reverse side foi7iling instructions.
occupied as our principal place of
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_ul - Certify that�64n
described r I property for which a Homestead Property
�We) owned ❑. Are buying under contraci -
❑ Have a beneficial interesi in ihe entity [hai is liable for the property taxes on the property and that owns the property or is buying under a contract.
� CONTRACT RECORDED . �
It buyinq on ContracC Fee Simple�owner'S name - . �
Recorder's oHice where contract is remrded Record number Page
County
PROPEFiTY DESCRIPTION
Tazing district (ciry, town, township)
Parcel number Legal de on ' U Q
�5 - �� ssa �� -� -� a ��o�-��
If any portion of the residential stmaure or the land not exceedinq one (1) acre that immediatety surmuntls thai sWCmre is usetl ro protluce income, describe Ne use and portion
oi the pmperty utilized to produce income.
- /%O/T 3� -
PROPERTV OWNED BY CIAIMANT IN OTHER COUN'fIES
Coumy �_ Township Counry Township
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�eby certity the above statemenis are true, correct and complete. Signamre t daimar�
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Address (number arrd street dry. stafe. ZIP Code)
-�.3 ljor..S�F' �: TN .1�
ASSESSOR USE ONLV . TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE � VALUE VALUE VALUE .
Land not exceeding 7(one) acre immediately
surrounding residential improvements. (�)
Otherland (p) .
Total land (line 7 plus line � (3)
Dwelling (4)
Residential improvements ���
Garage (5)
Other impravements (6)
Total improvements (line 4 through lina � (7) (
Total value (line 3 pLs line � (g) -
I hereby certify Ihe above is Irue. correci, and Signature of Assessor Date signed
camplete. �
� irg action - Signa[ure ot Autlitor Date signed
DEDUCTIONALLOWANCE�
19_Pay19_
Lesser ot 1/2 Homesiead
Valuation or 52.000 S