HomeMy WebLinkAboutHomestead_Craige%^,n
; CLAIM FOR HOMESTEAD PROPERTY TAX � pM - YEaR
}a�;; CREDIT/STANDARD DEDUCTION CT ��o �g91 �
�.`�• State Porm 5a73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side lor /iling insfruciions. .
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� � = � ' - � �� ` CERTIFICATION STATEMEM �G�gc�N � � � � �
I(We) ��Q J ,�SJ'�-�+� - � .. certify that on ihe 7st day of March, 19
�) oceupied as our pri pai place of residence the tollowing describedreal property for which a Homestead Pmperty Taz Credit is hereby daimed:
I�J I(We) owned ❑ Are buying under coniract ; � � , .
❑ Have a beneficial interest in the entity that is 1ia61e for the property taxes on ihe property and that owns ihe property or is buying under a contract.
� � - CONTRACTRECORDED� �� � -
If buying on contract, Fee Simple owner's name - -' � .
Recorder's ottice where contraa is recorded , Recortl number Page
County
Parcel number
�..11 �n
Township
Legal description
Ii any portion of the residential structure or Ihe land not exceetling one (1) acre that
of Ne pmperty utilized to produce income.
DESCRIPTION
surrountls that structure is used m produce income, describe the use antl portion
PROPERTY OWNED BV. CIAIMAM IN OTHER COUNTIES �
County Township County TownsFtip
by certify the above statemenis are true, correct and complete. Signamre ot daimam
Atltlress (number and streeL ciry, state. Z!P code)
H '8
ASSESSOR USE ONLY _. TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL.
_ - VALUE VAWE VALUE VALUE �
Land not exceeding 1(one) acre immediately �
surrounding residential improvements. (� � '
Otherland (Z)
Totai land (line 1 plus line Z� (3)
Dwelling (4) -_ -
Fesidentiai improvemenis
Garage (5)
Other improvements (6)
Total improvements (line 4 thiough line � (7)
Total value (line 3 p�s line � (g)
I hereby Certify lhe above is true, correci, and Signawre of Assessor Date signed
complete. .
u^�fving action - Sgnature of Audi;or Dare signetl
�.
STANDARD DEDUCTION ALLOWANCE � �
79_Pay79_ �
Lesser of 1/2 Homestead -
Valuation or $2,000 �
Signawre ot Autlilor Date signed
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