HomeMy WebLinkAboutHomestead_Wheeler (3)�.;��
aE " s CLAIM FOR HOMESTEAD PROPERTY TAX
3��': CREDIT/STANDARD_DEDUCTION
:, .�. ''� Slate Form 5<73 (R2 / 5-92)
INSTRUCTIONS:
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❑ Have a beneticial interest in ihe entity that is liable for ihe property taxes on the property and that owns the property u m under a contract.
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� . . CONTRACTRECORDED� . � � —�
If buying an conlracC Fee Simple owner'S name
Recortler's oHice where contraa is recorded
County � TownS�ip
�a�CR�b • o � !'�O' O � Legal des
U V r/I
II any portion of the residemial simaure or the land not
ol the property utilized to produce income.
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PROPERTY DESCRI
T3<ing
one (1) acre that immediately
i L 1994
, L Page
A7
. i�-��v-iior �c�.
lhat s ructure is use o produce income, tlescribe the use and ponion
PHOPERTY OWNED BY CLAIMANT IN OTHER COUNTIES -
County Township Count Township
�reby certify ihe above statemenis are true, correct and complete. Sgnamre of daimam
l
Address ( �m6era�MSlreeG clry. stare, ZlPcotle)
.3 8 .�� 66S
ASSESSOR USE ONLV TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land noi exceeding 7(one) acre immediately
surrounding residential improvements. (�)
Other land (p)
Total land (line 1 plus line Z� (3)
Dwelling (4)
Residential improvements
Garage (5) -
Oiher improvements (6)
Total improvements (line 4 through lina � (7)
Total value Qine 3 p6s line 7) �g)
I hereby certify the above is �rue, CorreCt. and Signature of Assessor Date signetl
complete.
�fying action - Signature of Auditor Date siqned