Homestead_Hoffman�/�Ya
d °, CLAIM FOR HOMESTEAD PROPERTY TAX
���'� CREDIT/STANDARD DEDUCTION
�.,�� State Form SC73 (fl2 / 5-92)
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INSTRUCTIONS: See reverse side /orliling inst(uctions.
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I(We) �{�/f�,� µJ •� �� I�� �. 5�,��!y/YY�au� certify.that on ih t day of March,,��
I(We) occu ie as our principal place of residence ihe following describ eal property for which a Homestead Property Tax CrediWS Ititiebu�c 'S
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�I (We) owned ❑ Arebuying under con(ract � � - � , . , ,, � .
�, Have a beneficial inierest in ihe entity ihat is liable for the property taxes on Ihe property and that owns the property or is buying under a contract �
CONTRACTRECORDED - •
If buying on contract, Fee Simple owners name , .
Recorder's oRice where contrect is recortletl Record number Page
Counry
PROPERTY DESCHIP'TION
TownShip � 1 '� Tauing distpcp(c(ry, rown, fownship)
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Parcel number Leg ription
n��-oo�a ,� ►�E, �-3-�I i.�l �4c
II any portion ot ihe residential stmcwre or the land not ezceeding one (1) aae thai immediatety surrounds ihat swcWre is used to produce income. tlescribe ihe use antl portion
of the property utilized to produce income.
- /�'- .36 - o?oo'-
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON•RESIDENTIAL..
VALUE VALUE VALUE VALUE -
Land not ezceeding 7(one) acre immediately
surrounding residential improvements. (� � '
Otherland (p)
Total land (line t plus line 2� (3)
Dwelling (4) �
Residemial improvements
. Garage (5) �
Other improvements (6)
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g)
I hereby Gertify the above is tme, correCt, and Signature of Assessor Date signed
complete.
Verityirg action - Signature of Audimr Date signed
� . STANDARD DEDUCTION ALLOWANCE �
19_Pay79_
Lesser of 1/2 Homestead
Valuation or $2.000 �
Signature ol Auditor Date signed
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