Homestead_Henning (3)I'='�_
e%'�"�°, CLAIM FOR HOMESTEAD PROPERTY TAX M YEAR
3a�; CREDITISTANDARDDEDUCTION ��� �0 1947
.�.�� • Slate Form 5473 (R2 / 5-92)
%m• . ' , �PlrLl Q7 � �J96
INSTRUCTIONS: See reverse side Ior filing instmc(ions. ,
� � � � � �'� CERTIFICATION STATEMENT . � �
��(���� 1e) Ti m o-ra �. E/7 HR6�. L. I�6NNiiJ(r " Acertify ihat on the 7st day of March, 79�I%
�) occupied as our prmcipai place of residence ihe �following described real property for which a Homestead Property 7ax Credii is hereby daimed:
� I(We) owned ;❑ Are buying under contract . . ,
❑ Have a beneficial inierest in ihe entity ihat is liable for ihe property taxes on ihe property and thai owns ihe property or is buyinq under a contract.
- CONTRACTRECORDED - .
Ii buyirg on contract, Fee Simple owner's name .� . �. � . .
Rewrder's oftice where contract is remrded Record number Page
' PROPERTY DESCRIPTION
County TownShip ' Tazing tlis[rict (ciry, town, fownship) .
6��Se,� 1.�,,.,o„�� . GtN,.,,i
Parcel number Legal tlescription
007— Oiff17-oo �r SC� .?0-3-'._�/o_ 9.��9Ae.
It any portion ot the residential stmcwre or Ihe land not exceedinq one (11 acre that immetliately surrounds that s[rucNre is used to produce income, describe Ihe use and portion
of the property utilized to protluce income.
v��i�a��ilic
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
- VAWE VALUE VALUE � VALUE
Land not exceeding 1(one) acre immediately . �
surmunding residemial improvements. (� �
Oiherland (Z)
To�al land (line 7 plus line � (3)
Dwelling (4)
Residen�ial improvements
Garage (5) I
Oiher improvements (6)
Total improvements (line 4 through lina � (7) I
iotal value Qine 3 p6s line 7� (g)
I hereby certify the above is ime, correct, and Signamre of Assessor Dace signed
complete. �
�tyi(g action - Signature of Auditor Date siqnetl
DEDUCTION ALLOWANCE
19 Pay19_
Lesser of 1I2 Homestead
Valuation or SZ.000 S
signetl
7R 3 F