HomeMy WebLinkAboutHomestead_Williams (9)a„E n`R
e/ g CLAIM FOR HOMESTEAD PROPERTY TAX
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CREDIT/STANDARD DEDUCTION
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.�.;'� Siate Form 5473 (R2 / 5-92) �
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INSTRUCTIONS: See reverse side 7oi liling instructions_
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I(We) S�-,d,� a K. c�.� �a,r,�,Q.> certify ihat on the 1st day of March, 79J_/
�`re) occupied as our rinci al lace of residence�the following /d�escribed real property for which a Homestead Prop rty Tax Credit is hereby claimed:
I (We) owned ❑ Are buying under contract . ,J � Q6 �� L''SD ��� CK}}�
Have a beneticial interest in the entity thai is liable for the property taxes on Ihe pmperty and that owns the property or is buying under a contract.
� CONTRACT RECORDED � -
If buying on contracL Fee Simple owner'S name � , • ;
Recortler's oNice w�ere contraa is recorded Record number Page
PROPERTY
Counry
Parcel number Legal description n�
001- 60 �{ $"S -Ol� �i� �
It any portion ot Ne residential svucwre or the land not exceeding one (7) aue
of the property utilized to produce income.
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fown, IownShip)
structure is used to produce income, desaibe the use antl portion
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� ASSESSOR USE ONLY TRUE TAl( ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE .
Land noi exceeding t(one) acre immediately
surrounding residential improvements. (�) -
Otherland (p)
Total land (line 1 plus line Z)
Residential improvemenis
Other improvements
(3)
Dwelling (4)
Garage (5)
(6)
Total improvements (line 4 fhrough line �
Total value (line 3 p�s line 7�
I hereby certity the above is Irue, correct, and
complete.
19_Pay19_
Lesser of 7/2 Homestead
Valuation or 32,000
1�
(�)
Ie)
Signature of Awessor
STANDARD DEDUCTION
5
signed
Date signetl