HomeMy WebLinkAboutHomestead_Russelle rt1� CLAIM FOR HOMESTEAD PROPERTY TAX
i� CREDIT/STANDARD DEDUCTION
Y�,' SWte form 5473 (R2 / 5-92)
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40
INSTRUCTIONS: See reverse side for liling instructions.
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I(We) �_u(/ ��_�� � IX�C/ �/l.(.JL� ��( �y,[ I.f.K.Y certi al on the 1 st
�'e) occupied our principal place of residence the following described real property for which a Homeste rope Tax i
U I(We) own ❑ Are buying under contract GIBSON �(�j�
❑ Have a beneficial inierest in the entity ihat is liable for the property taxes on the property and that owns ihe property or is bu
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� .. . � .. CONTRACTRECORDED:_; . -- �d. -+,:. . - ,;a.�:" -
If buying on contrad, Fee Simple owner's name
Recorder's otfice where contrad is recorded Record numDer Pa9e
� " � . PROPERTY.DESCHIPTION � . . ..=`�... � �' .' � ..
Counry Township T�ing distriq (crry, (own. town5hip)
P � Inumbe= �IS���Legaldescription �� I �
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It any portion of the residential swciure or 1he IaM not exceetling one (1) acre that immediatety surrounds ihat swcture is used ro produce income, describe Ne use antl
of Ne property utilized to produce income.
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-- ��� ASSESSOR USE ONLY � � TRUE TAX�_ �ASSESSED HOMESTEAD � NON-RESIDFMIAL.
� VAWE VAWE VALUE , � VALUE -�'--
Land noi exceeding 7(one) acre immediately � -
surrounding residential improvements. (�) ' � �
Otherland (2)
Total land (line 7 p/us line Z� (3)
Dwelling (4) �� � � . . � . . � .
Residential improvemenis , _ . ..
Garage (5) ` ..
Other improvements (6) � �
Total improvements (line 4 through line 6� (7)
Total value (line 3 p�s line � (gj
I hereby certify [he above i5 IrUe, CorreGt, and Signa;ure of Assessor Date signed
wmplete.
�tyirg action - SgnaWre of Autlimr Date sgned
� STANDARD DEDUCTION ALLOWANCE" � � - �
19_Pay19_ -
lesser of 1/2 Homesiead
Valuation or 52.000 �
Sgnature ot Autlitor Date signed