HomeMy WebLinkAboutHomestead_Williams (3)��^,�.
a/ .' °„ CLAIM FOR HOMESTEAD PROPERTY TAX
iE�;� CREDIT/STANDARD DEDUCTION
.�.;''� Sta1e Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side /or filing instructions.
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APR 1 � 1996
' ^ AUDIIUK °
e) � _ _i e...: -- � ��� certify that on ihe 7si day of March, 19_
h) occupied as our principal place of re�idence the following described real pmperty for which a Homesiead Property Tau Credit is hereby claimed:
�(We) owned ❑ Are buying under contract ,
Have a beneficial interesi in the entity that is liable tor ihe property taxes on the property and ihai owns ihe property or is buying under a contract.
� CONTRACTRECORDED � - ��
If buying on contraa, Fee Simple owner's name � �
Recorder's oNice where contraci is recordetl qecortl number Page
� PROPERTY DESCRIPTION
Township 7vcing district �city. tawn, township)
1 number Legal tlescrlption \ J �
s - 0 3 9.�3-da "}�Q ,A�,c� ' �-�
portion of the residential stmaure or the lano not ezceetling ne (1) aae that immediatety surrounds that ructure is used to produce i�me, describe the use and ponion
property utdized to produce income.
�G -/� i 9-/°D - �.3, ��3-a�
' PROPERTY OWNED BV CLAIMANT IN OTHEP COUNTIES
y Township County Township
certify the above statements are true, correct and complete.
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- ASSESSOR USE ONLV . TAUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL
VALUE VALUE- VALUE VALUE
Land noi exceeding 1(one) acre immediately I
surrounding residential improvements. (�)
Otherland I�p)
Total land (line 1 plus line � (3) .
Dweiling (4)
Residential improvements .
Garage (5) �
Oiher improvements (6)
Total improvemenis (line 4 through line � (7)
Total value (line 3 p�s line 7� (g)
I hereby certify the above is lme, correCt. and Signanre ol Assessor Date signed
complete.
VP�ntying action - Signamre of Auditor Dare signed
19_Payt9_
Lesser of V2 Homestead
Valuation or 52,000
STANDARD DEDUCTION
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'�ignaNreof utlitor �Date�ne�
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