HomeMy WebLinkAboutHomestead_Hunt(1( �1� .
4� ' a CLAIM FOR HOMESTEAD PROPERTY TAX ..
s��: CREDIT/STANDARD DEDUCTION
�„�,; �� Sta;e Form 5473 (F2 / 5-92)
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INSTRUCTIONS: See reverse side /or filing instructions.
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�� e) KJ.J n� i n.�_°1't - � �D ne day —
�) occupied as our principal place o r�e-"s�7fce tl following described real property for which a Homestead Property 7estifu9tQ�reb claimed
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�I (We) owned ❑ Are buying under comract - . �
L Have a beneficial interest in the entiry that is liable tor the property taxes on the property and that owns ihe property or is buying under a contract.
�-- . � � . . CONTRACTRECORDED'-� - � � ' �
It buying on contracC Fee Simple owner's name . . . �
Recorder's ottice where coniraa is recorded - Record number Page
County
� ° PROPEFiTY DESCRIPTION ��
Township . . � Tazing distri�t (ciry, rown, township)
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Parcel number Legal description
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It any ponion of the residential simcture or ihe land noi exceeding one (1) acre that immediatety surrounds that strucNre is used [o protluce income, describe the use arM portion
of the pmperty utilized ro produce income.
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PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township Counry Township
�eby tertity lhe above Siatements are [rue, correCt and complete. Signanre of Gaimant
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Address (number and sbeel. ary, s(are. ZlPCOde)
,Q�2 /oor9
� ASSESSOR USE ONLY � TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
� VALUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediately
surrounding residential improvements. (�) �
Otherland (p) �
iotal land (line 7 plus line 2� (3)
Dwelling (4) � � -
Residential improvements �
Garage (5)
Other improvemenis (6)
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g)
I hereby Certify ihe above is irue. Correct, and Signature of Assessor Date signed
complete.
�•�Wing aclion - Signature of Auditor Da;e signetl
� STANDARD DEDUCTION ALLOWANCE . ' �
19_Pay19_
Lesser of 7/2 Homestead
Valuation or 52,000 S
Sgnawr f Autli;or Da:e signed