Homestead_Neufelder (3)��"� ; CLAIM FOR HOMESTEAD PROPERTY TAX FopM YEAR
;��� CREDIT/STANDARD DEDUCTION riC�o �
�.�,� State Form Sa73 (R2 / 592)
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INSTRUCTIONS: See reverse side /or filing instructions.
t(We) (/ � CJL�rC � ��""t I�/ d� v � certify tt�t oo-lhe 1 st day oOfMQ arch, 19_
��) occupied as our principal place of residence the following described real property for which a Homestead Prop�c�dit�Dtlreby claimed:
(J I(We) owned ❑ Are buying under coMract � - -
❑ Have a beneficiai interest in the entity ihat is liable for the propeny tazes on ihe property and thai owns the propertyor is t�yir�ndQr,�t�ct.
If buying on contract.Fee Simple owner's name
��
CONTRACTRECORDED�.
PROPERTY DESCRIPTION . � ��
/ D� Ta�ing disinct (afy tqyv p/ no rp�
/ // /
liC /"
Record number � Page
Parcel number Legal description
9D% � o( v%- o 0
If any portion of ihe residential strucWre or the land not exceedinq one (1) acre that immediately surmunds that structure is usetl ro pro0uce income. descri6e Ne use and portion
of the pmperty utilized ro produce income. �
the
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state.
9-��?S
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
and complete.
� ASSESSOR USE ONLY TRUE TAX - ASSESSED HOMESTEAD NON•RESIDENTIAL.
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately
surroundingresidentialimprovements. (�) �.
Otherland � (p)
Total land (line 7 plus line Z� (3) I
Dwelling (4) -
Residential improvements
Gara9e (5) � ..
Oiher improvements (6) '
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line � (g)
1 hereby certify the above is lrue, correct, and Synamre ot Assessor Da;e signetl
complete.
Veritying action - Sgnature ot Auditor I Date signed
19_Pay19_
Lesser of 1/2 Homestead
Valuation or 52.000
S
S
ALIOWANCE
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