HomeMy WebLinkAboutHomestead_Morgan (7)-;9
CLAIM FOR HOMESTEAD PROPERTY TAX ORM
CREDIT /STANDARD DEDUCTION AH IlII
State Form 5473 M7 1 &M
Prescribed by ft DeperieTord of Local Govenwrent Fsuaahm
F
INSTRUCnOVS: See reverse side for Ring insbiocbms.
W- ---
1-4 U V :
CERT11FICATHM STAIEKEW
I (we) Ssrft of March. 20�—
1 (We) occupied as our priricipall a folloWng des4ibed real pup" for which a Homestead FTT;i�i� fAob*Wby claimed:
0 1 (We) owned ❑ Am buying under GlBS07NC0 Tfff
IHave a beneficial interest in the mfity, that is liable for the property taxes on the property and that owns the property or is buying under a contract
tf buyng on cmbacL Fee Sffrq3ie ownees name
Pacordees office where coribw is recorded Record number Page
"�;,*,t'z-"PROPEIMMNECiBY.CLAiKA�ft[N'OTHI�itcoumtms,���,,
TWE TAX.
PROPERWOESMIRTIOW':
Township
County
Township
Tomnstup
Si"m of clairriard
Tmang district (city, tcllimQ&
(nurrtwandstreet aU; crate. Zflocode)
r/ (Jh0
sdooc
Lao description
� - G ?,/-00 /
of
Is Nis
I �Reel
in question:
pop"
❑ Mobil. Home (I.C. 6t.1 -7)
tarry potion of the residential structure or the land not exDm&g one (1) nore, that imrradWely amorxhds that s6um,e is used W Produciemn=re. describe the use and patios
property LdffwW to produce
"�;,*,t'z-"PROPEIMMNECiBY.CLAiKA�ft[N'OTHI�itcoumtms,���,,
TWE TAX.
County
Township
County
Township
I hereby certify the above statements are true, correct and complete.
>
Si"m of clairriard
VALUE
(nurrtwandstreet aU; crate. Zflocode)
Valuation or $35,000
sdooc
of
"r ,STMDAROD W C7M ALLOWANCE U umw
TWE TAX.
ASSESS&VALUE
J-,HONESTEAK
g,
ASSESSOR USE ONLY
VALUE
VALUE
Valuation or $35,000
of
Land not exceeding I (one) am irrynedialmly
Date sr
surrounding residential irnprovernents.
Other land
(2)
11 h
Total land (line I pals [no 2)
(3)
Dwelling
(4)
Residential unproverients or Annually
Assessed Mobile I Manufactured Horne
Garage
"INA
(5)
OPT,
W, 43�,O I
Otter
(6)
Total ffnpmvwmft (rme 4 through fine 6)
(7)
Toted value (lime 3 phs kne 7)
(8)
I hereby certify the above is true, ooffea and
complete.
&Wmh" at fi ssar
Date sigrhed
%"rq acdon - SUnature of Auditor
Data signed
"r ,STMDAROD W C7M ALLOWANCE U umw
20_Pay2O-
Lesser of 112 Homestead
$
Valuation or $35,000
of
Date sr
1, / I