Mobile Home_Doan 40 no..
46 :11t4.,:..% CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
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(E- • 'T. CREDIT/STANDARD DEDUCTION L. its- -14 ME
State Feral 5473(R5/10-01)
2002 A
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gm.
Prescribed by the Department of Local Government Finance
INSTRUCTIONS:See reverse side for filing instructions. MAR 0 _____
ft.i-4},St:41 ii-rj.iiii r:i:i.,:•,.iit.4-ii ,.... i - i,i -' • i CERTIFICATION STATEMENT • I
I(We) arh 14..)__I Z--C)LS1---3--N-3---1, 7
ce v ... . Vo■. d., •if Mar 1-20
I(We)occupied as our principal place of rgsidence the following described real property for which a Homestead i ,Ititri, Thril al ed:
iL41.I(We)owned 111 Are buying under contract ,
-lave a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a con.-ct.
Wt1-214.tifiNSit;;Vii*':1,1.11Fii21.,SSLCifiti;t:Ciaii.1' i.4?".:::".C7a;1/4'. r ..CONTRACT RECORDED:44.a'I!.FE-r r:-:-,-..-14.-ire-- -i.--'7,..::,:i-t4=-e;s21 6-•:t"---
If buying on contract.Fee Simple owner's name
Recorders office where contract is recorded Record number Page I
1 PROPERTY DESCRIP,TION tiail?'',014:44:411.
County Township Ttkg district(cif own,township)
Parcel number ,,4(317-- Legal description tin IT b1---.•
Is the property in question: b
t
{%y ')'IC... -01)(1 El Real property 0 Mobile Homo(i.C.6-1.1-7)
If anjrportion of the residential structure or the land not exceeding one(1)acre that immediately surrounds that structure is used to produce income.describe the use and portion
of the property utilized to produce income.
K.11'.:.;tilYEr-:4134;.:";tle,t.S1-:"•V:T21-::'2 cr--"":5-7_5!--::PROPERTY blMiED'Bi•CLAIMANT IN OTHER COUNTIES tr"--0..':it:Pi5;--....;:i;W: til.''.71,.' v. :.; 1.
County Township County Township
I hereby certify the above statements are true,correct and complete. Signature of ant
alress(number andr- optritate,ZIP co, .
11" / Yee2-1 *-121/ 41 7 ,lo
..„..6:I f,-n;`Ar;44:$11.4:ci`i;'I:zior- V -';.:*;(.7.:Pri. : :.,f04 , - ; •...-. . ,.. •
,-,.,.TRUEtTAX: f.;:,r.- ASSESSEDVALUE=.:;,-P..- :?::t"r-gctL:.10AISSESSOR USE•01.1151:1:7:-%::Ct h f Zv.;'
. 1-'■'.51 LC:174 r i . 474.OMESTEAD f A. ,07N.O.;N7RESIDEN:T-IAEt=r.-
zecMgav? z :t ; ;. , VALUE AT 100%9FTTY r YS-uEw NAuEi 4t ,
Land not exceeding 1 (one)acre immediately 'itri.ili iii.-.4....-W-1,1142-Y-i.i-=-1t-i LI:
surrounding residential improvements. (1) i3- ii",:•-ifit.'tiZr C-,i i":2?-l-ii_ILliar
Other land
(2)
• .........,_ ._
Tctal land(line 1 plus line 2) (3)
Dwelling (4) 5:-;?:-2,-'). '
Residential improvements
_
Garage (5) ittiSt'cl,'Cl2AC44 :-i-ti5:7-j-?;74-7-7•.
tl- k-A2---'-t';.f-st,-,14:0--lk,17:_r:'—iil*
Other improvements (6) -4 - •
Trial improvements(line 4 through line 6) (7)
Trial value (line 3 plts line 7) (8)
I hereby certify the above is true,correct,and Signature of - . .or\,
complete.
Ir 1 Date signed
Venfying action-Signature of Auditor \ 1. \\'"C\ \\ ( A A
STAN Date signed
; W ; .,”-5 ----- Arl. ".....ti,ce:"STAN ARD.DEDUCTION ALLOWANCE-t'lli't:CI? 1412ii:*‘1:-.:aict-I:-.4::,;:k:5-44:1`,71-1-‘'..'
"..._-1
0 20 Pay 20
Lesser of 1/2 Homestead
Valuation or 56,000 $
Signature of Auditor ti 0_3........) \___Nic....\sx.......3)......e...Q Date signed
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