HomeMy WebLinkAboutHomestead_Weddlee� '^`�R°. CLAIM FOR HOMESTEAD PROPERTY TAX
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CREDIT/STANDARD DEDUCTION
.�,,.'� State Porm 5473 (R2 / 5-92) �
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INSTRUCTIONS: See reverse side 7or /iling instructions.
FORM
HC70
YEAR
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�\ �Yw � VW.1J�`�-f�j�{J���J��J.,,,d(.�(,}(Q certify ihat on the lst day of March, 19 � I
�I(fWe) occupied as� our principal place of residence the tollowing described real property for which a Homestead Property Tax Credit is hereby Gaimed:
�1 I (We) owned ❑ Are buying under coniract . �. _ . , , � .
❑ Have a beneficiai interest in the eniity that is liable for the pmperty taxes on the pmperty and that ownsthe pr000rtv n� �ying under.a wntrad.,
• 'if� 7f�tir.�
It buying on contract. Fee Simple owner's name
Recordefs oflice where wmraci is recorded
Counry . � Township'
RECORDED
PROPERTY DESCRI�N
. , Tazing d� ict (cit town, ( . hi , ,•
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rc 1 umb � legal description
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It any ponion ot the residential structure or the la� not exceeding one (7) aae Nat immetliatery wnounds Nat struciure is usetl ro produce income, desaibe the use and portion
ol the pwpeny utilized ro produce income.
County
PROPERTY OWNED BY
Township
certify the above siatements are irue, correct and complete.
'num6erandstree6ciry,slate,ZlPOOde) _ n
II:
ASSESSOR USE ONLY TRUE TAX ASSESSED FIOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VAWE � .
Land not exceeding t(one) acre immediately
surrounding residential improvementa (�)
Oiherland (p� �
Total land (line 1 plus line � (3)
Dwellin9 (4)
Residential improvemenis
Garage (5)
Oiher improvemenis (6)
Total impmvements (line 4 through lina � (7) I
Total value (line 3 p�s line � (g) I
I hereby certify [he abOVe is irue, cOrreCt, and Signature oi Assessor Date signed
�olete.
jing action - Sgnamre of Auditor Date signetl
19_Pay19_
Lesser of 112 Homestead
Valuation or 52.000
STANDARD DEDUCTION
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