HomeMy WebLinkAboutHomestead_Manne. ^.,, .
e� = ; CLAIM FOR HOMESTEAD PROPERTY TAX
;E�,� CREDITISTANDARD DEDUCTION
.�„�� Sla;e Form�5a73 (R2 / 5-92) �
,m
INSTRUCTIONS: See �eve�se side 7or /iling instructions.
,�R�, p1-q YEAR
.. � �C�y.�� a.� � �_� '
`Jf�l+� 1:; 1995
A� ('1 pn
I(We) CiJY�--s�, y� cenify that on the 1 st da�`oi Mar�ch, 79_
�ve) occupied a ur principal pl ce of residence the following describedteal pmperty for which a Homestead Property Tac Credit is hereby daimed:
(We) owned ❑ Are buying under contract .
4.
LY Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the pmperty or is buying under a contract.
- - CONTRACT RECORDED � �
It buying on contraa, Fee Simple owner's name - , . . .
Recortler's ottice where cnntract is recortled Record number Page
� PROPERTY DESCRIPTION
County . Township � �Taxing district (city, fown, rownship) �
�
Pa¢el number Legal description
If any ponion of the residential sirucwre or the land not exceeding one (7 � acre that immetliatey surrounds that swcwre is usetl m produce income, describe the use and portion
o( �he pmperty utilized to produce income.
� - - 4 - G� . -O �
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township Caunry
reby certify the above statemems are true, correct and complete. Signawr o� ai an�
� �'�
A,Aress (numberandstreet ciry. sfate, ZlPmde)
� 12_{�. � $oX ZS36 �or� Qrnnc% =IJ �1�76�f8
ASSESSOR USE ONLY
Land noi ezceeding 7(one) acre immediately
surrounding residential improvemenis.
Otherland
Total land (line 1 plus line 2�
Dwelling
Fesidential improvements
Garage
Other improvements .
Total improvements (line 4 through line �
Totat vaiue (line 3 p�s line 7)
I hereby certify the above is irue, correci, and
complere.
Veritying action- SignaWre of Autlitor
19_Pay79_
lesser of 7/2 Homestead
Valuation or 52.000
TRUE TAX
VALUE
(�)
(2)
(3)
(4)
(5)
(6)
(�)
(8)
Signature ot ASSessor
ASSESSED I HOMESTEAD
VALUE VALUE
STANDARD DEDUCTION�ALLOWANCE
3
Township
NON-RESIDENTIAL
VALUE
Date signed
Date signed
\uditor I Date signed
�p� ,��,�� ,� �-��-