HomeMy WebLinkAboutHomestead_Busing�E ^"n a CLAIM FOR HOMESTEAD PROPERTY TAX
���i; CREDIT/STANDARD DEDUCTION
.�,;;• State Form 5<73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side !or 7iling instructions.
YEAR
���. ��
SEP 1 1 1997
y�� - ` �
' Iwe) e�-� ��,t� i n q �- 1�y)"1 � V�/ C��QJ'] (1/, certity. tha�n��t "y o�'t�taie?I?i�3'=
��) occupied as our principal place of�rc idence the following described real property�for which a Homestead Property Tax Credit is hereby claimed:
(J I(We) owned ❑ Are buying under contract � ,
❑ Have a beneficial interesi in the entity that is liable for ihe property taxes on the property and ihat owns the propeny or is buying under a coniract.
� . CONTRACT RECORDED - . •
If buying on contract, Fee Simple owner's.name � � ' _ , . . . - �
Recorder's oHice where comraa is recorded Record number Page
Counry
Township . �
PROPERTY DESCRIPTION
Parcel number Legal tlescr" n
�ll-booi � -d� �'�s�v;e � �P�- 9 �
II any ponion ot the residential stmcture or the land not exceeding one (7) aae that immetliatey surmunds that swcture is usetl m produce income, descdbe the use a� portion
of ihe property ulilized to produce income. '
_.. . '.t _ . . .
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Counry � Township Counry Townsftip
��eby certify ihe above siatements are true, correct and complete. Sgnawre Caimant
X
Atltlress (number and streef. uty, slafe. ZIP code) �
I �
ASSESSOR USE ONLY � TflUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE �VALUE VALUE VALUE
Land not ezceeding 1(one) acre immediately -
surrounding residential improvements. (�)
Oiherland (p)
Total land (line 7 plus line Z� (3) .
Dwelling (4)
Resideniial improvements
Garage �5) , �
Other improvements (6) �
Total impmvements Qine 4 through line � (7) I
Total value (line 3 p�s line � (g)
I hereby Certify the above is true, correCi. and Signa;ure ot Assessor Date signed
complete.
�tying action - Signature oi Autlitor Date signed
19_Pay79_
Lesser of 1/2 Homesiead
Valuation or 52.000
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