HomeMy WebLinkAboutHomestead_Cunningham (2)^�'�`< CLAIM FOR HOMESTEAD PROPERTY TAX M YEAR
` ' CREDIT/STANDARD DEDUCTION ' H o �
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Siate Form 5473 (R2 / S92)
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INSTRUCTIONS: See reverse side (or tiling inshuctions. F C�
� 2 3 2001
- CERTIFICATION STATEMENT �;
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I(We) occupied as our princi I lace of residence the tollowing described real property for which a Homestead Property Tax Cre i is tte�e�e���&'1:
❑ 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 that owns the property or is buying under a contract.
� CONTRACT RECORDED - �
II buying on contract, Fee Simple owners name
Recordefs oR�ce where convact is recorded � - fiecord number . Pa9e
PROPERTY DESCRIPTION
Counry Township // " Ta�dng tlistrict (ciry, town, /row/nship) —
(�l /�/ Oni (�i i✓i D �. �J •
Parcel n mber legal descnption
D O�J- O� �� o v
If any portion ot ihe residential structure w the land rroi exceeding one (i ) acre Nat immediatey surtounds ihat swcNre is used ro produce income, tlescri6e the use and portion of
Ne property utilized to produce income.
��- 9D -�DO - Q�/. / �% O�aS
� PROPERTY OWNED BV CLAIMANT IN�OTHER COUNTRIES �
Counly - Township Counry TownShip
St Signa[ure of tlaimant �
iereby certify the above statements are true, corred and complete. �
tltl/re�ss (numbeiaMpStreet, ciry, stafe, ZIP pode) .
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ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAI
VALUE VALUE VAI:UE VALUE
Land not exceeding 1(one) acre immediately ��)
surrounding residential improvements.
Otherland (2)
Totalland Qine 7 plusline 2) (3)
Dwellin9 (4)
Residential improvements
Garage (5)
Oiher improvements (6)
Total improvements (line 4 through line 6) (7) �
Total value (line 3 plus line 7) (B)
I hereby Certi(y Ihe above is true, corrett, and Si9nature of hssesor Date signed
complete.
Verifying ac6on - Signatura of Auditor Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
ser of 1/2 Homestead �
� V ua on or $2,00
SignaWre of Auditor Date signed
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