Homestead_Schmitt�E .n.�
a g CLAIM FOR HOMESTEAD PROPERTY TAX �
���: CREDIT/STANDARD DEDUCTION
�,�;� State Form Sa73 (R2 / 5-92)
�eu .
INSTRUCTIONS: See reverse side /or filing instructions.
FORM YEAR
HC10
� ���
IlWe) ��� � ertify��i'on the 7si ay arch, 79
�) occupied as our principal p ce of residence the following desc be`d real propeny for which a Homestead.Proper.ty.T , e't ereby im .
�
❑ I (We) owned Are buying under contract � " - ��.:'�.•` ;- °�` :-..-`.• a[!p170R
❑ Have a beneticial inierest in the entiry that is liable tor the property tazes on ihe propeny and thai owns the property or is buying under a contract.
It buying on
County
If any
of the
itr e Simple owners n e
;e ere contract is recoNed
`�" PROI
�+ Township �
. Legal description
/
f Ne resitlential structure or the land not exceeding one (7) ave
utilizetl ro protluce income.
Recortl number Page
s �l- 9� 1 �r k7 [�[ >/
DESCRIPTION � -
73�cing dislfic� (city, fown, IoWnship) � .
_ � � ���
V wrrountl5lhat 5trucNre is used �o prOduce inWme. tlesvibe lhe use antl
PROPERTY OWNED BV CWMANT IN OTHER COUNTIES
Counry Township Counry Township
.by certify ihe above statemenis are true, correct and complete. S nat re ot d imam r
L_
nddress (number arM street. ary. stare. z�P code)
ASSESSOR USE ONLY . TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE- VALUE VAWE
Land not exceeding t �one) acre immediately
surrounding residential improvements. (�) �
Otherland (p) -
Total land Qine 7 plus line 2� (3) .
Dwelling (4)
Residential improvements
Garage (5)
Oiher improvements (6) �
Total improvemenis (line 4 through line � (7)
Total value (line 3 p�s line � (g)
I hereby Certify Ihe abOVe i5 Uue. COrrCCi, and Signature of Assessar Date signetl
complete. '
��ing action - Signature o( Auditor . Date signetl
DEDUCTION ALLOWANCE
19 _ Pay 79
lesser of 1/2 Homestead
Valuation or 52.000 S