Homestead_Wilson (3)�E rt��
f °, CLAIM FOR HOMESTEAD PROPERTY TAX
},��� CREDIT/STANDARD DEDUCTION �
�.�;�� Stare Form Sa73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side 7oi liling instructions.
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FORM� � � �'YEAFt�
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- '�EB 2 81994
.e) _ I� -�l.J l�lL�C7 � certify that on the 7 st day of March, 19 7�
h) occupied as our principal place ot residence ihe following described real property for�which a Homesiead Property Taz Credit is hereby claimed:
1(We) owned ❑ Are buying under coniract
Have a bene(icial inierest in ihe entity thai is liable for the property taxes on the property and that owns the property or is buying under a contraci.
CONTRACT RECORDED
If buying on contract Fee Simple owner's name -_`
Fiewrder's ottice where contract is recorded Record number Page
County
�c�s-�193G--�bl
If any portion of ihe residential structure or the
of ihe propeny utilized to produce income.
iv�ing district (c(ry, rown,
__��._. �.� (-3 — I �— Co 0 ,S`f/ Q�C �
no� exceetling one (1) acre that immediatey sunounds that structure is usetl to produce income, describe ihe use and ponion
' /oa-�a� 93G-oa.�/
ASSESSOR USE ONLY TiiUE TAX ASSESSED HOMESTEAD . NON-RESIDENTIAL
VAIUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediately �
surrounding residential improvements. (�) � �
Otherland (p) -
Total land (line 1 plus line 2� (3)
Dwelling (4) °
Residential improvemenis _
Garage (g) . _
Other improvements (6)
Total improvements (line 4 through lina � (7)
7otal value (line 3 p�s line � (g)
I hereby Cerlify ihe above is trUe, corrett, and Sgnamre of Assessor Dare signed
complete.
y"ug action - Signature of Audimr Da,e signed
19_Pay19_
Lesser of 1/2 Homesiead
nv
Sgna W re a� Auditor
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ALIOWANCE