HomeMy WebLinkAboutHomestead_Spangler (3)e+ °•� YEAR
�,��� CLAIM FOR HOMESTEAD PROPERTY TAX , FORM
i� CREDIT/STANDARD DEDUCTION HC�O
,�; • State Form 5473 (R2 / SA2)
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INSTRUCTIONS: See reverse side 7or (iling instructions.
� .,. , . . . . ^ �, _ . . . . . _ ° _•:�CERTIFICATION STATEAAENT:.-: ,^:.'.. . . , � ,; - .. . � . :_... , .
�We) certify Ihai on the 7st day of March. 19_
le) occupied as our principal place ot residence ihe ollovring de cri ed real property for which a Homestead Prop�Rz �r�it��eby claimed:
❑ I(We) owned ❑ Are buying under contract
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and thai owns
. . � � .. -CONTRACT RECORDED . - �. - �, �- r ' : . - ..
If buying on contraa, Fee Simple owner's name
Recorder's oNice w�ere contraa is recortled Recortl number Page
Counry
If any
of ihe
Township
er � I — Legaldescription
i ot tne residenual swaure or Ne land not ezceeding
ry utilizetl to produce income.
PROPERTY DESCRIPTtON�
Taring distriq (ciry, town. rownship)
aae that
is used ro produce income, describe Ne use arW portion
° � PHOPEHTY OWNED BY CLAIMANT IN OTHER COUNTIES �
Counry Township Counry Township
�zreby certify ihe above statements are true, correa and complete. r, re or cia�mam , �
G�G �Y
n tlress(numberarHstree. iy stat IPCUCe)
ASSESSOR USE ONLY . TRUE TAX ASSESSED HOMESTEAD �- NON-RESIDENTIAC. .
, VALUE VALUE VALUE . VALUE �� �-
Land not exceeding 7(one) acre immediately �, -�
surrounding residential improvementa (�) - �� �
Otherland (Z) � -
Total land (line 7 plus line 2� (3)
Dwelling (4) . �. - -.. �
Residential improvements .
Garage (5) '.
Oiher improvements (6) �
Total impmvements (line 4 rhrough line � (7)
Total value (line 3 p6s line � (g)
I hereby certity ihe above is true, correci, and Synamre of Assessor � Da;e signed
complete.
fyirg attion - SgnaWre of Auditor Date signetl