HomeMy WebLinkAboutHomestead_Baker (6)a��''R ; CLAIM FOR HOMESTEAD PROPERTY TAX
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INSTRUCTIONS: See reverse side /or (iling instructions.
� � . . � - rconnren
FORM YEAR
HC10 . �
e) �/�(Z.J��Q�Y, �1�LtJN,Gt_� . . certify�AetorEltrt't9i�ag'df9HafCh, 19_
O occupied as our principal p e of residence the following described real property for which a Homestead Pr�ifIPT� QredtlpQ+ereby claimed:
ULG O I�JU
I(We) owned ❑ Are buying under contract
Have a beneficial inieresi in the entity that is liable for the property taxes on the property and ihat owns the perty or is yin�ndef.3 ntract.
_ . �•v„x�,,�'. o.Lfry(r..f°
�TAI1 O
� . � CONTRACT RECORDED .. � '
If buying on contract, Fee Simple owner's name - . ' - .
Recorder's oHice where contraa is recorded Recortl number Page
Township
It any portion ot Ne resitlential strucwre or the
of the property utilized ro produce incame.
PROPERTY DESCRIPTION � � � �
. T ' ict p . wq (own5hip) _
� o?`�%
one (1) acre that immediately surmunds ihat simciure is used ro produce income, describe the use and portion
� PflOPERTY OWNED
County Township
�by certify the above siatements are we, correct and complete.
Address (number and slree(, dty,�tate. ZIP �de) .
BY CLAIMANT IN OTHER COUNTIES
Counry
claimant
Township
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL � - �
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately
surrounding resideniial improvements. (�) ' . � -
Otherland �p)
Total land (line 7 plus line 2� (3)
Dwelling (4) , � �
Residential improvements �
Garage (5) '
Oiher improvements (6) �
Total improvemenis (line 4 lhrough line � (7)
Total value (line 3 p�s line � �g)
I hereby ceriify the above is irue, correct, and Sgnature of Assessor Date signed .
complete. �
-`�-^Nirg action - Signature af AuCitor Date signed
19_Pay19_
Lesser of 1/2 Homestead
Valuation or 82,000
STANDARD DEDUCTION ALLOWANCE �
E
of Autlitor I Date siqnetl
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