HomeMy WebLinkAboutHomestead_Nuefelder (5)ej-"�� ; CLAIM FOR HOMESTEAD PROPERTY TAX
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�e�n CREDIT/STANDARD DEDUCTION
�sm..`` State Porm 5473 (R2 / 5-92)
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INSTRUCTIONS: See reveise side !or liling instructions.
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�I� e) �r_ (,_(J�(,�(,�}-�I �/ ._//__ � certify.thai on the lst day of March, 19
) occupied as our princip� flace of residence ihe tollowin described real property for which a Homestead Property Tau Credit is hereby daimed:
❑ I(We) owned ❑ Are buying under contract � , �
❑ Have a beneficial interesi in the entity that is liable for the property taxes,on ihe property and thai owns the property or is buying under a contraa.
� • � � - � � CONTRACT RECORDED . . ' ' � � � � �
I( Wying on wntract. Fee Simple owner's name ' .- ' � .
Recortler's oMice where contrect is recortletl Record number Page
Counry
�� d(lY �OrtiO� �
of the property
Township
Legal description .
a
swaure or �he IafW not exceetling one
ice income.
PROPEflTY DESCRIP.TION
� Tasing tlistnct (city.
�
that in
fownship)..
siruc[ure
describe Ne use and portion
�� - . PROPERTV OWNED BY CLAIMANT IN OTMER COUN'fIES .
Counry Township County Township
�aby certify the above statements are true, correct and complete. n imam
Address (num6er aiM sfreeG ciry, stafe, ZIP code)
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ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL �
VAWE VALUE VALUE . . VAWE -
Land not exceeding t(one) acre immediately
surrounding resideniial improvementa (�) ��
Otherland (p)
Total land (line 7 plus line � (3)
Dwelling (4) � , � -
Residential improvements
Garage (g) - ��
Other improvemenis (6)
Total improvements (line 4 through lina � (7)
Total value (line 3 pUs line 7� (g) .
I hereby certify ihe above is tme, correci, and Signa;ure o( Assessor Date signed
complete.
v=.;fying action - Sgnature of Auditor Date signetl
19_Pay19_
lesserof 7/2 Homestead
Valuation or 52.000
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SignaWre of Autllmr ��A� ��� I Da�e sig �
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