Homestead_Richardson5i�" CLAIM FOR HOMESTEAD PROPERTY TAX
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INSTRUCTIONS: See reverse side /or (iling inshuctions. � �
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CERTIFICATION STATEMENT , , t/ � 1��� "
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I(We) ��ti„y � ertify that on the 1 st day of March, 79_
I(We) occupied as our principal place of residenc t following descnbed real property for which a Homestead Property Tau Credit is hereby claimed:
�I(We) owned ❑ Are buying under contract
Have a beneficial inierest in ihe entiry that is liable for the property taues on the property and ihat owns the property or is buying under a coniract.
CONTRACTRECORDED
If buying on conVact. Fee Simple ownefs name
Recortlefs office where contract is recordetl Record numDer Page
PROPERTY DESCRIPTION
Counry Township ' Taxin 'stnct /ary, own, township)
Parcel number Legal deuription I
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If any portion ot Ihe residential structure or Ne taM rwt exce�rg one (1) acre ihat immetliatey sunountls Nat swcture is usetl to produce income, describe Ihe use and ponion of
ihe properry u5iized to protluce income.
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PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Caunry Township Counry Township
Si nature of claimant 1
�ereby certify the above statements are true, correct and complete.
Atltlre (number and treet, ciry, sfate, ZIP oodei
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ASSESSOR USE ONLY TRUETAX ASSESSED HOMESTEAD NON•RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not ezceeding 1(one) acre immediately (��
surrounding residential improvements.
Otherland (2)
Total land (line 7 plus line 2) (3)
. Dwelling (4)
Residential improvements
Gara9e (5)
Other improvements (6)
Total improvements (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is We, wrrect, and Signawre of Assesor Date signed
complete.
Ventying actlan - Signamre ot Autlitor Date signed
STANDARD DEDUCTION ALLOWANCE
79_ Pay19_
Lesser of 1/2 Homestead �
Valuation or 52,000
Signature of Auditw Date signed
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