Homestead_Williamsonea/-�'�°� CLAIM FOR HOMESTEAD PROPERTY TAX
s��= CREDIT/STANDARD DEDUCTION
.�.,;'� State Form Sa73 (R2 / 5-92)
�si�
INSTRUCTIONS: See reverse side 1or liling instructions.
FORM YEAR
HC70
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e)�. ��' ���.X�,Q�t�OR`� � certify t t on ihe 7 s� yday March, 19��
__) occ,upied as our principal place of sidence ihe following described real property for which a Homestead '�eyryJ�ff11f�Q�'�laimed:
f( e) owned ❑ Are buying under coniract ' �� V 1 I
Have a beneficial inreresi in the entiry that is liable for the property taxes on the property and that owns the property or is buying under a contract.
� CONTRACTRECORDED � � �
If Wying on contrec6 Fee Simple owner's name . - � �
Recorder's ottice where contract is rewrded . Record number Page
County
Parcel number (
901 '��i
If any portion of the resitl
o� U�e properry uiilized �D
PROPERTY DESCRIPTION
fown.
� �y C_. � v .r �.n ... - � v ...�_o,k, rc �
or ihe land not exceeding one (il acre that immetliatety sunounds that sWC[ure is used to protluce income, tlescribe the use aM portion
— / 7— /�l — /O/J �
ERTY OWNED BY CLAIMANT IN OTHER COUN'fIES
Counry �
certify the above statements are true, wrrect and complete.
(numberandsbeet. ary, state.
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ASSESSOR USE ONLY TRUE TA7C ASSESSED IiOMESTEAD NON-RESIDENTIAL.
VALUE VALUE VALUE VALUE
Land not ezceeding 1(one) acre immediately
surrounding residential improvements. (�)
Otherland (2)
Total land (line 1 plus line Z� (3)
Dwelling (4)
Residential improvemenis
Garage (5) �
Oiher improvements (6) �
Total improvements (line 4 through line � (7)
Total value (line 3 p�s line 7� (g)
I hereby Certi�y �he above is lme, correCt, and Signamre of Assessor Date signed
complete.
Verityirg action - Signature of Auditor Date signed
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