HomeMy WebLinkAboutHomestead_Martin (22)' ' i
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e�/�" g CLAIM FOR HOMESTEAD PROPERTY TAX
3��= CREDIT/STANDARD DEDUCTION `
.�,��� State Form 5<73 (R2 / 5-92)
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INSTRUCTIONS: See ieverse side Ior7iling instructions.
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�.8) ���J� . 1� IUnhA/"� certify that on the 7st day of March, 79_
I(We) occupied as our principal place of residence the following described real property for which a Homestead Pmperty Tau Credit is hereby claimed:
1� (We) owned ❑ Are buying under con[ract
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L Have a beneficial interesi in ihe entity that is liable for the property taxes on the property and ihat owns the property or is buying under a con[raci.
� COMRACT RECORDED - -
It buying on contrect, Fee Simple owner's name . � .
Recorders ottice where contraa is recorded Recortl number Page
I( any
ot the
Township
Legal description
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i of the residential SWCture or the iand not
ny utilized ro produce income.
PROPERTY DESCRIPTION
IULCJt1W� �5 N��
(1) acre that immediatety surwunds ihat sirucmre is used to protluce income, describe the use and portion
ASSESSOR USE ONLY . TRUE?AX ASSESSED HOMESTEAD NON-RESIDENTIAL: -
VAWE VALUE� VALUE VALUE .
Land not exceeding 1(one) acre immediately
surrounding residen�ial improvements. (�) �
Oiherland � (2)
Total land (line 7 plus line Z� (3)
Dwelling (4) �
Residential improvements
Garage (5) -
Other improvements (6)
Total improvements Qine 4 thiough line � �7)
Total value (line 3 pbs line 7) (g)
I hereby Gertify ihe above is Irue, correct, and Signanre ot Assessor Date signed
plete.
,_)"ug action - Signature of Autliror Date signetl
STANDARD DEDUCTION
19_Pay79_
Lesserot 7/2 HomesiE
Valuation or 52,000