Homestead_Ricker (2)aE '^'� a CLAIM FOR HOMESTEAD PROPERTY TAX
�; �'= CREDIT/STANDARD DEDUCTION_
� State Form 5a73 (R2 / 5-92)
..ieiT . . ' � . . .
INSTRUCTIONS: See �everse side toi /iling instructions.
FORM YEAR
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'APR 17 1996
.'e) ��- C�(}[1l1�)�j��, � l�;�u� certify thai orYffi€ 1� ,��yiet�� S9_
a) occupie s our pri c al place of residence ihe folRTwing described real pmperty (or which a'Homestead Property Tax Credi� i�hereby claimed:
❑ I(We) ow d ❑ Are buying under coniraci � , ��
❑ Have a beneficial interest in ihe entity that is liable for the propeny taxes on the property and that owns the property or is buying under a contraci.
� . - - CONTRACT�RECORDED � � �
It buying on contraa, Fee Simple owner's name �• . � . - . � �
Recorder's oHice where contrect is recordetl Record number Page
� PROPERTY DESCRIPTION
Counry Township -. Taai�g district (ciry. mwn, fow�
Parcel n mber Legal description
�s- 30- �- -
Ii any ponion of the resMential strucwre or the lantl not exceetling one (1) acre that immetliatety wrrountls that strucNre
of the pmperty ulilizetl m produce income.
- /� o� 70 -�c�.9. 30 -��i
m produce income, describe ihe use and ponion
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES -
Counry Township County Township
•eby certify ihe above siatements are tme, correci and complete. I Signamr iaimam �
Address (numbei and sbeet. ciry, sta(e. ZIP code) �
TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL '
ASSESSOR USE ONLY VALUE VALUE VALUE VALUE -
Land not exceeding 1(one) acre immediately
surrounding residential improvemenis. (�) � ' �'
Otherland (p)
7otal land (line 7 plus line 2� (3�
Dwelling (4)
Residential improvemenis
Garage (g) �
Other improvements (6)
Total improvemenis (line 4 Ihrough line � (7�
Total value (line 3 pbs line 7) (g)
I hereby certify the above is Irue, CorreCt, and Signature of Assessor Date signed
complete.
_�—�•ng action - Signamre of Auditor Date signed
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