Homestead_Wallace�,...,,.
;��� CLAIM FOR HOMESTEAD PROPERTY TAX
i� CREDIT/STANDARD DEDUCTION
SWte Form 5473 (R2 / 5-92)
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ihe prop�rtptir i�qiry}�gu�ec.a�Ontract.
. . � - . .. CONTRACT RECOADED � . �. . "i .-: ,, . � � . - -;. ;.;+, • - -
Ii Wying on contraa. Fee Simple owner's name
Recorder's office where contract is recortletl Record number Page
Township
If any portion of Ihe resiaential structure or ihe land rwt
of the property utilized to produce income.
one
PROPERTY DESCRIPTION
i�in9 Oistrict (
@'lo -/U �lo ^ ol(XJ -lXJ�
PROPERTY OWNEO
Counry Township
�reby certity the above statements are true, correct and complete.
o -� /Z � v
wrrounds that swaure is used to produce income, describe Ne use antl portion
IN OTHER COUNitES �
. .ASSESSOR USE ONLY TRUE TAX. ASSESSED HOMESTEAD NON-RESIDENTIAL-. `�.. �
� VALUE VALUE. VALUE VALUE - �
Land not exceeding 7(one) acre immediatety . . �
surrounding residential improvements. (�) - �
Other land (p) �:,f � , � .
Totat land (line 7 plus line 2� (3)
Dwelling (4) . :� . . . , � �
Residential improvements . . .
Gara9e (5) , . .
Other improvements (6) �
Total improvements (line 4 through line � (7)
7otal value (line 3 p6s line � (gJ
I hereby Certify the above i5 IrUe, GorreCt, and Signature of Assessor Date signed
complete.
�fyirig aaion - Signature of Audiror Date syned
STANDARD
19_Pay19_
Lesser ot 1/2 Homestead
Valuation or 52,000
S
IDate;t9�etl r7 � p� I
� C �
—,. _ . . � ._ `