Homestead_Stroud (2)aa ^�� � CLAIM FOR HOMESTEAD PROPERTY TAX
3,��;; CREDIT/STA�EDARD DEDUCTION .
.�; State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side (oi7iling instrucfions.
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" FORM
HC10
�T��F
:M �
YEAR
I(We) � � certify ihai on the 7st day of March, 19_
�) occupied a our principal place of residence the following described real property for which�a Homeste rop� e�Cr '' is here G' ed:
I (We) owned ❑ Are buying under contract - � , qJ
"_' .'rn��;....
❑ Have a beneficial interest in the entity ihat is liable tor the property taxes on the property and ihai owns ihe�pioperty oi is buying`und�Pa tract.
� � • � . CONTRACTRECORDED � _. � - � �
If bryinq on contraci; Fee Simple owner's name - , . ..
Recorder's oHice where contract is recordetl Record numher Page
PROPERTY DESCRIPTION
Township
fown,
�oS-�5�5-ab� °-�-� SC !� � � 3 - l�' : a �9 �,
It any ponion of the residential stmaure or ihe land noi exceeding one (7) aae that immediatey surrounds that structure is used ro produce income, describe the use and ponion
of ihe pmperty uuiized ro produce income.
I ,�/_ _/7-D/-�i�� �sQ.3_ S7_T- G�/ I
ASSESSOR USE ONLY TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL
- VALUE� VACUE � VALUE � VALUE
Land not exceeding 1(one) acre immediately
surmunding resideniial improvements. (�)
Otherland (p)
Total land (line 7 plus line Z� (3) �
Dwelling (4)
Residential improvements
- Garage (5) . .
Oiher improvements . (6)
Total improvemen[s (line 4 fhrough line � (7)
Total value (line 3 pbs line � (g)
I hereby certify lhe above is [rue, corrett, and Si9nature of Assessor - Date signed -
complete.
Veritying adion - Sgnamre ot Autli;or Dare signetl
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79_Pay19_
Lesser of 1/2 Homestead
Valuation or 52,000
DEDUCTION ALLOWANCE
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-a� S� �