Homestead_Alexander-- PROP R — CREDIT /STANDARD VAIM-� R-HOMESTEAD�
q
DEDUCTION
State Farm 5473
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S�Ai%a &;' Department'oftoeal Government Finance 0 .!61 y_73(:%-q z 01 bsj':rm� ces'j sit I Z
INS TRUO7�(ONSr§38 lr6Vcjju_=side DEC
05.2-12G
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_AP
It re�- C TI ICAMON STA1EMENTq_A)K'r
ER F
J 4 -
it (We) X ��Si '�'Irfif, he, �.WNY
1 9-9 1,!
occupied as our principal place of residence tte following described(jeal pwwellywr•Aich a•Homasaad Pnipe'rty Twc Credit is hereby claimed:
Ne) owned Are b
V u con rac
JEf-j yi
r'l,
ive a beneficial interest in.thelentity thatis gable-fof;the property taxes on the property, and that owns the propertyor is buying under a contract.
buying on contract. Fee Simple owner's name I 1.1MV
n +-
'.Recordefs office where contract is re
Record number, Page
PR1OPERfY-.'DESCR I R tio N
.. ..... .
:County, 6�T) S_t no, 7A Qmttcao_
losns p
;E V11• 1.69Y M:::M,, I.
township)
T)i
Parcel number
Legal description
Is the property question:
lor) a , aLs-�r_K-ao
1 6p rty-!, ❑ Mobile Home (LC. 6.1.1 -7)
If any portion of the residential slructure or the land not "_'Ceiding one -(j4-.a"=."th"at-1mm8aiitKi6r76unds that strVau're is used to reduce income. describe the use and portion
of the property utilized to produce i . noome.
3r"! r.;
•1: W ecl0lSt j aYqm Z.L&-_ae,b 6 %-a s qh,-vm,,. le•,,i i I
- A
iCounty
ov^rn 10
nw. s
Township SP
C_
oun Township
FrAia IS,@ �n
I hereby certify the above statements are tru r
Signatur I claimant
ran (number andstroet, city, state,-ZIP
- A
M
ASSESSED VALUE
M 0
_
_0N!9E_Sr L
MN
A4LUEM
ti
E ftVALUE
Land not exceeding I (one) acre immediately
surrounding residential Improvements.
(2)
UOtherland
OMN
Tdal land (line I plus line 2)
(3)
Dwelling
(4)
Residential improvements or Annually
Assessed Mobile / Manufactured Home
Garage
OR
(5)
Other improvements
(6)
Tctal improvements (line 4 through line 6)
(7)
Total value (line 3 plus line 7)
(8)
1 hereby certify the above is true, come&, and
Signature of Assessor
Date signed
complete.
I
Van" action - Signature of Auditor
Date signed
20 _ Pay 20_
Lesser of 1/2 Homestead
Valuation or S3S.D00