HomeMy WebLinkAboutHomestead_WadeMf^��
a� _' °4 CLAIM FOR HOMESTEAD PROPERTY TAX
;r�= CREDIT/STANDARD DEDUCTION `
�� �� State Form Sa73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side lor7iling instruc(ions.
FORM
HC70
_ YEAR
�) U�.Qi��_, �{— �" . ' t� � certify that on the 151 day of March, 19�
e) occup' as our principal ptace of residence ihe followin escribed real property for which a Homestead Property Tax Credit is hereby claimed:
I(we) owned ❑ Are buying under contract . �
Have a beneticial interest in the entity ihat is liable for the property taxes on ihe property and thai owns the property or is buying under a contraci.
. CONTRACTRECORDED� �
It buying on contraa. Fee Simple owner's name � . � � �
Recorder's oftice where coniraa is recorded Recortl number Page
Counry
Parcel number
�j'1- C
li any ponion ot
of Ne property i
� PROPERTY DESCRIPTION �
���q.�� .� Township ' Tazing district (ciry. town. lownship) �
/—.v11 / �-/ '
Legal des ion
� q -o ��- �J� �3-� - � a . 8�as� �
�.itlentia� svucture or the land not exceeding one (1) acre that immediarety sunounds that sWCiure is used to produce income. describe the use and portion
to produce income. . ,
�G -/�-/3 - �60 - �aa ��4-a�s
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Counry Township County
■
�ereby certity the above statements are true, correct and complete. ��'X�qr ure of daimam
!.['�%��
ddr (r{�m6erg�dstreetciry,state.ZlPcode) � , �
�
ASSESSOR USE ONLV TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE' VALUE
Land not exceeding 7(one) acre immediately '
surrounding residential improvements. (�)
Otherland (p)
. Total land (line 1 plus line � �3)
, Dwelling (4) �
Residential improvements
Garage (5) .
Oiher improvements (6)
Total improvemenis (line 4 through lina � (7)
7otal value (line 3 p�s line 7) (g)
I hereby certify the above is true, correCt, and Signature of Assessor Dare signed
mplete.
�tying action - Signature of Auditor Date signed
\
STANDARD
19_Pay79_
Lesser of tl2 Homesiead
Valuation or 52.000
S
Signawre of Audimr // ) \ _�, __ I Dare
� � � /Ylnc.,[( Ji _ —��-------