Homestead_Neufelderj'`''"'° - CLAIM FOR HOMESTEAD PROPERTY TAX
` ° CREDIT/STANDARD DEDUCTION
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Sta[e Fofm 5473 (R2 / S92) -
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INSTRUCTIONS: See reverse side /or /iling instructions.
FORM
HC70
YEAR
� CERTIFICATION STATEMENT
I(We) ce tha i 7 d ch, _
I(We) occupied as our principa lace of residence the tollowing describ reat property for which a Homestead Property Tax Credit is e imed:
❑ I(We) owned ❑ Are buying under contract SEP 13 2000
❑ Have a beneficial interest in the eniity that is liable for ihe property taxes on the property and that owns th perty or is buyin nder a contract.
CONTRACT RECORDED GIBSON C
If buying on contrect, Fee Simple owners name
Recortler's of(we where contrad is recorded Record number Page
PROPERTY DESCRIPTION
Counry Township Tazing district (rary, town, rownship)
Parcel number LegalOescrip'
-E�?c�• o t Ss� 3- - 1 . s� L
any ponion of the resitlentlal sirucW re or ihe land not exceeding one (1) acre that immediatety sunountls ihat swcture is used to produce income, descnbe Ne use antl poNOn of
the pmperry uGlizetl ro protluce income.
�-/2- 3- s-a� ��a-oas
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry TownShip Counry Township I
Sig tur fcla nt
sreby certify the above statements are true, correct and complete.
Address (number antl stree(, ciry, sla(e, ZIP code)
!�v K 7 .�H. �� 6 s�
ASSESSOR USE ONLY TRUE 7AX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land nof exceeding 1(one) acre immediatety ���
surtounding residential improvements.
Otherland (2)
Total land (line 7 plus line 2) (3)
Dwelling (4) .
Residential improvements
Garage (5)
Oiher improvements (6) .
� Total improvemenis (line 4 fhrough line 6J (7)
Total value (line 3 plus line 7) (8) .
I hereby certify Ihe above is Irue, CArreCt, and Signature of Assesor Date signetl
wmplete.
Veritying action - Signature ol Auditor Date signed
� STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead S
Valuation or 52.000
Siqnature of Auditor � Date signed
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