Homestead_Straeffere°/ ��" g CLAIM FOR HOMESTEAD PROPERTY TAX.
i��: CREDITlSTANDARD DEDUCTION '
� State Porm 5473 �R2 / 5-92)
?ui � . ' � . . � .
INSTRUCTIONS: See reverse side !or /iling instructions.
FORM YEAR
HC70
���•��� �
I(We) �U.(Il.(V . � certify.thatonthelstday ;March,t9_
�) occupied as our'principal place of residen e he foilowing described real r �rty for whicfi.a Homestead r perty Ta�c Cr ii ereby im :
�,J I (We) owned ❑ Arebuying under contraci � - . . � '„�
. ' - .� �='R°: i �,n,'�. � . 'di'11r(1R
❑ Have a beneticial interest in ihe entiry that is liable for the property taxes on the pmperty and that owns the pmperty or is buying under a contract.
' - � - CONTRACT RECORDED � �� � � �
II buying on comrac6 Fee Simple owner's name � . � •� ' �
Recorder's oHice where contrect is recorded Record number Page
Parcel number
If any ponion c
ot the propehy
- ' PROPERTY DESCRIPTION '
Township . ' Tazing dislrici (ciry, town,
� 1 /1 i 1
�Legal descriP 1 �.7
�-
��n��c�re or the land not exceetling one (7 � acre that
r r�n me.
iX�.. ��f_�� .,'�/i/1— �i/�
-,3-�� � r}C
unds that stnxwre is usetl to protluce ixome,
=oas
:ribe ihe use and portion
. PROPERTY OWNED�BY CLAIMANT IN OTHER COUNTIES �
Counry iownship Counry Township
��
�e y certity the above statements are we, correct and complete. Signa re ot Claiman��
Atldress (num6er and streel, ary, state, ZIP oode) T ��
.� �' I ,:-'� i �/ �
ASSESSOR USE ONLY TFUE TAX ASSESSED MOMESTEAD NON-RESIDENTIAL �
, VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvements. (�) � "
Otherland (p)
Total land (line 1 plus line 2� (3�
Dwelling (4) . �
Residential improvements
Garage (5) � �
Oiher improvemenis , (6)
Total improvements (line 4 through line � � (7) �
Total value (line 3 pbs line � (g)
1 hereby tertity ihe above i5 irue, correCi, and Signature of Assessor Date signed
complete.
V:"rg action - Sgnamre of Auditor Date signetl
19_Pay79_
lesser of 7/2 Homestead
valuation or 52.000 S
of