HomeMy WebLinkAboutHomestead_Stanley� CLAIM FOR HOMESTEAD PROPERTY 7AX
� CREDIT/STANDARD DEDUCTION
� / Slate Form Ss73 (R6 / 1-03)
Prescn6ed by the Depanment of Local Govemmem Finana�
under contract J
, Have a benefidal interest in lhe entiry ihat is liable for the property taxes on the property and that owns the property�or is bu� y�ereyo.�pact.
116uying om m�traa, Fee Simple owners name
Recordefs affice whare conVad is recorded
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Record numEer � Page
-'3,�,'r;��':�-- PROPERTY OESCRIPTION-%.-. _ .• ._ , � . -. - .. .. .=,:°" ` - : . .
Tonnship Ta�ing disirici , fowq t�vnship)
�P cel number Le crip o Is the pmperty i uestion:
�Q '� Real DroDerty ❑ Mohile Homo (I.C. 67.7-7�
II any portion ol �he residential sWCWre w �he Wnd not exceedin9 one (1) acre lhal immediately surtounds Ihat swcWre is used lo D��uca inmme. desuibe lhe use antl portion
ot the propeny utilizeA to produce income. / a 9 6 Q.�,
�/_ ../9-a 3 -/o� - �a./>�'- oas
r<�-�... ,�,n �- s; � �� . __ _ . . . . .
�T: 1 � Z s'� � � � TRUE TAX ASSESSED VALUE .�: HOMESTEAD•' � NON-RESIDENTIAC,
�µ,;� y u :_ASSESSDR�USE ONLY _ � � � y��E AT 100%�OF.:TTV - :;' ' ' VALUE "� � °i;`VALUE:� �
''F",<x'9.<,�i.�.. :.A � . -.s;. �;. .
Land not exceeding 1(one) acre immediatety .'r��;�•-%`" � .. �
surtounding residential improvements. ��) . � ' - . -
Other land �Z) � � � .
Total land (line 7 plus line 2) (3�
Dwelling (4) . ;::'.�_ - .. �� -. .
Residentiel impmvementsorAnnually ' ' � ``�` ;`-�'�`°" '"'t�'� �'_
AssessedMobile/Manu(acWredHome Gara e �":.ry���F;:-:�v�-l�-�� -
9 (5) '
Other improvements (6)
Taal improvements (line 4 through line 6) I(7�
T[lal value (line 3 plus line n (8)
I hereby certify the above i5 We, cortect, and Signawre of Assessor Date signed
complete.
Vetitying action - Signa�ure otlwdilor Dale sgned �
" ,..a,-:;'�.`_'��V --�'';�- � � -^--STANDARD.DE�UCTIONALLOWANCE'�°�� ' � �-�
20 _ Pay 20 _
Lesser of 1!2 Homes:ead � .
va�uauon or 535.000
5
Sgnature of Auditor ' Date signed I
. . ?1:�'. .iT _ w—� e�-� ______—__