Homestead_Fithianrt. .np
a.E °� CLAIM FOR HOMESTEAD PROPERTY TAX
i��;� CREDITISTANDARD DEDUCTION
�;;� State Portn Sd73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side loi liling instructions.
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��Ne) 1%A V/,� �_�_�f_�_���,�j�✓ - tify that �on ihe 7st day of March. 79�7�
�) occupied as our principal place of residence ihe following described re hi !do s peny Tax Credit is hereby claimed:
�i I ENe) owned ❑ Are buying under wMract . „UDITOR .
❑ Have a beneficial interest in ihe entity ihat is liable for the property taxes on the property and ihai owns ihe property or is buying under a contraci.
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� CONTRACT RECORDED - � �
If Wying on conVact. Fee Simple mvner's name . - .
Recorder's otlice where contract is recorded Rewrd number Page
Counry
PROPERTY DESCRIPTION
) Township /' . / � . _ Taxing tlisvict (clry, (owq rownshrp)
G/�.J�PUN � � . l� N ! o �J . . . - .
Parcel number . Legal tlescription
�O %� Oo 5<`� -0t7 _
If any portion of the residenual strucwre or Ihe land not exceetling one (1) acre t�at immetliatety surwunds thai SWCmre is used to protluce income, tlescribe t�e use aM portion
of the property utiiaetl ro protluce income.
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� ASSESSOR USE ONLY TRUETAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately '
surrounding residential improvemenis. ���
Otherland (p)
Total land (line 7 plus line Z� (3)
Dwelling (4) � .
Residential improvements
- Garage (5) . I
Other improvements (6)
Total improvements (line 4 throvgh line � � (7) .
Total value (line 3 p6s line 7) (g) '
I hereby certify the above is true, correct. and Si9nature of Assessor Dare signetl
complete.
�tying action - Signature ol Auditor Date signed
STANDARD DEDUCTION ALLOWANCE
�9_Pay19_
Lesser of 1/2 Homestead
Valuation or 52.000 5
Signature ol Audi;or Date signed