Homestead_Baker (2)- _='4'•�i' ' .
a�-'"m f CLAIM FOR HOMESTEAD PROPERTY TAX
s'�': CREDIT/STANDARD DEDUCTION
�.. ��.;� � State Form Sa73 (R2 / 5-92)
�sis .
INSTRUCTIONS: See Bverse side (or liling instructions.
. - _ . . CERTIFICATI
i__y
FORM 1'EAR
° �3
n�nR 01199?
ir -�
I(We) � �- (1,�� certif 1aas� arch, 19
'e) occupied as our principal place of residence the following described real property for which a Homestead Propert redvis hereby claimed:
�4� �(.I (We) owned ❑ Are buying under contract , �
Have a beneficial inierest in�the entity that is liable for the property taxes on the property and that owns the property or is buying under a coniract.
! . . . . � - . - � r _ . ,
� - � CONTRACT RECORDED ' - �� ' � �
It buyirg on convad. Fee Simple owner's name . � . , . -
Recorder's oflice where comraa is recorded Record number Page
' �PROPERTY DESCRIPTION - �
Counry . � Townst� TaNng dist �a (city 7owq lownship) . , . .
Parcel number L I descri tion
S -o3�iq l� - 3-I a.� �-C.
If any ponion of the resitlential strucwre or the IarW not exceeding one (1) acre thai immedia,ey wrmuntls that sWCNre is used to protluce iraome, describe the use and portion
of the property utilizetl to produce income.
- i,�-� _ ��a =aQ 3. oi 9- a�/
� ASSESSOR USE ONLY . TRUE TAX � ASSESSED HOMESTEAD NON•RESIDENTIAL
. VALUE VALUE� VALUE VAWE
Land noi exceeding 1(one) acre immediately -
surrounding residential improvements. (�� - �
Otherland (p)
Total land (line 1 plus line � (3)
Dwelling (4) � �
Residential improvements
Garage (5) �
Other improvemenis (6) �
Total improvemenis (line 4 through lina � (7)
Total value (line 3 p6s line 7) (g)
i hereby tertify ihe above is Irue, CorreCt, and Signature of Assessor Date sfgned
complete.
Veritying actian - Synature of Auditor Dare signed