HomeMy WebLinkAboutHomestead_Lyons4' n't CLAIM FOR HOMESTEAD PROPERTY TAX
� `�'�`"" � CREDIT/STANDARD DEDUCTION
'y J Slate Fortn 5673 (RS / 70-01) ._ _
Prescribed Dy the Depanmenl of Local Govemment Finance
. • INSTRUCTIONS: See reverse side to�7iling instructions.
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rc;�K��... avr�.. t� +. �.-�'- ' � � - -� --- .�CE FICATI
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I(VJe) occ as ou ci ence the following de "bed real pmp
�(We) owned ❑ Are buying under wntract �� -�
�=e a beneficial interest in the entity that is liable for the prope i
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If huying on contraa, Fee Simple ownets name
Remrders office whera contract is recorded
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� M YEAR--�i
C 0 � i
--� APR 2 5 2002
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for whicii a l-I�mestead Prope y Tac Credil is hereby Gaimed
e and that owns the property or is buying under a contract.
ED-..n . . _ '"-�-:C:� r ? � _ : a� _. . . . _._... . .--
Rewrd number � Page
County Tamship Tacing district (ury, fown, township) ' .
Parcel numher Legal descriptinn' � - - � � � � � , Is Ne property in:question: - _ . � �
" " ' � � � eal.pmperty �.❑ N�obileHOrtiop.C.,67.1-0) .
If any portion of the residential sWdure w ihe Wnd not exceetling one (1) aae thal immetliatety surtounds �hal sWU m is used b produce income, descnhe ihe use antl ponion
of the property utilized w praduce inwme. .
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County Twvnship � County,
I hereby certify the above statemenls are true, correcl and wmplete. . Sigoam 1 da"unant.
�dress (number gpd sUeef, city, state, ZIP code) _ � , _
Twvnship
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j'-��^.,'�S`rt*����.�v'''.�'3.q.l..Y� sr s,ve x �=` .i .. . _ _ . . ... . .. � ._. . . y � .
� � TRUETAX ASSESSEDVACUE HOMESTEAO � � NON-RESIDENTIAL ^'��
u�.'�g�,���5�ES50�SEONLYr�,:�6��Y���� VALUE;' kS AT100%OF�T7V M;�VALUE����`g`"";��',�VALUEp.:.%� .k'
Land not exceeding 1(one) acre immediately �,) �' �` ,.� i w�� � y*_r � e� �;.
surrounding residential improvements. ...,,,,�.:�,._;;,,:;..,-,;.�_t,.�., ,-- �.
..;ti �.:-; =..•�.,. `
Otherland (Z) :�j,_�= �.;�,;`:i
Tdal land (line 7 plus line 2) (3)
Dw011ing (4) �aF �x j'f�� � „it.'`y.���#r'i
Residential improvements ' � i' � �1 .
i�.,�, a �'F :':N'`^ h .�- ��� r
Garage (5) . �., ���'��"+f.:�u:"!"'�'_�'
:'.:Y-i� � :
Otherimprovements (6) �,� c s.�`?; �
- -'.'7 �.:„ -
Total improvements (line 4 fhrough line 6) (7)
Tdal value (line 3 plis line n (g�
I hereby tetlify the above i5 We, correct, and Signature of Asseswr Date signe0
complete.
Veri(yi�g action - SignaWre of Puditor Date signed
' .` ..��';s'<.; ��,-T,y�'.���'�F'._.�.;�?f`,'��r"'STANDARD.DEDUCTION�ALLOWANCE "� �', � }w.0 � -.c;;- �rrt-..- -.
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• - 20 _ Pay 20 _ --
Lesser of 7/2 Homestead
Valuafion or 36,000
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Signature otAuAitw Date signed
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