HomeMy WebLinkAboutHomestead_Treece�.,.n
a/>" °4 CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION
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.� � t State Form Sd73 (R2 / 5-92)
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� INSTRUCTIONS: See �everse side forliling instructians.
FORM
HC10
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I IW� _ __ ��W���_ _ _ certify that on th 7 y Ma h 9
�) occupied as our pr �cipal place of residence the foliowing describedreal property for which a Homestead Pmperty T�re�t i�he�, e y Y i e
;��) owned ❑ Are buying under contraci . . . y 'Q p�
❑ Have a beneticial inieresi in ihe entity that is liable for the property taxes on ihe pmperty and that owns ihe property or is b���ndeAa c�N�i.
If buying on contraa, Fee Simple owner's name
Recortler's ottice where crontract is recortled
Counry � Township
If any portion oi Ihe resitl
of the properry utilizetl to
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Legal description
CONTRACT RECORDED
PROPERTY DESCRIPTION
Ta*ing di5lnctj
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Record number Page
fownship)
1.L,1�� � ,
strucwre or the IarM not exceeding one (7) acre that immediately surmunds that structure is used to produce income, describe the use and ponion
ice incame.
PROPERTV OWNED BY CLAIMANT IN OTHER COUNTIES
County T^•^^- ' n Township
�eby certify the above siatements are true, correct and complete. signat f cia� am �
A ress (num r and s.reet. ary, slate, ZIP mOe)
� (�0 l'� � F% ,u�d/ .t/• �! � �if
ASSESSOR USE ONLY . TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not ezceeding 7(one) acre immediately
surrounding resideniial improvemenis. (�)
Otherland (p)
Total land (line 7 plus line � (3) �
Dwelling (4)
Residential improvemenis
Garage (5) I
Other improvements (6)
Total improvemenis (line 4 through lina � (7�
Total value (line 3 pbs line � (g) .
I hereby tertify the above is Irue, COrreCi, and Signawre of Assessor Date signed
complete. -
Verifying action - Sgnamre of Audiror Date signed
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19_Pay79_
Lesser of 1/2 Homestead
Valuation or 52.000
S
ALLOWANCE
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