HomeMy WebLinkAboutHomestead_Harris (5)�"`'�"" ° CLAIM FOR HOMESTEAD PROPERTY TAX
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!�� CREDIT/STANDARD DEDUCTION
, State Form Sa73 (R2 / S92)
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FORM YEAR
HC10
INSTRUCTIONS: See reverse side for �ling insVUC6ons.
CERTIFICATION STATEMENT
I (We) , certify th�t�8thd1� �op�March, 19_
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I(We) occupied as our principai place of residence the following described reat property for which a Homestead Property Tax�redi is ereby claimed:
❑ I(We) owned ❑ Are buying under contract . �
❑ Have a beneficial inierest in the entity that is liable tor the property taxes on the properry and that owns t act.
GI SON COUNTY AUDITOR
CONTRACT RECOFDED
It buying on contract. Fee Simple owners name
Recortlers oHice where convac[ is recorded Record number Page
PROPERTY DESCRIPTION
Counry Township Taung disirict (dry, town, townshipJ
P I number Legal tlescnption L� �/�
� - D '� -C � — � . IJCJ
If any portion oF the revaential swcture w Ihe Wnd not exceetling one (1) acre ihat immediatety surtound� ihai swaure is used [o produce income, descnbe ihe use antl ponion ot
Ne property utilized to produce income.
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PROPERTY�OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township
I Signa re of claimant
ereby ceRify the above statements are true, correct and complete.
AtlCr u ber s(reet, dry, state, ZIP cotle)
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ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 7(one) acre immediatety (�)
surrounding residential improvements.
Other land (2)
7otal land (line 1 plus line 2) (3)
Dwellin9 (4)
Residential improvements
Garage (5)
Other improvements - (6) -
Total improvemenis (line 4 through line 6) (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is true, covect, and Signamre of Assewr Date signed
complete.
Veritying acUOn - SignaWre ot Autlitor Date signed
� STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead S
Valuation or S2,000
SignaWre of Auditor I Date signed
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