HomeMy WebLinkAboutHomestead_Hirsch (13)�,.�,�.
e�/ ; CLAIM FOR HOMESTEAD PROPERTY TAX
_%�'� CREDIT/STANDARD DEDUCTION
�, '� State Form Sa73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side lor tiling instnic(ions. .. (,+pp� �[� '��
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� � - " CERTIFICATION STATEMENT '
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e) _ _ lJJ . � - .. - �. - . � certify that on ih���� h, 79�
�:) occupied as our principal place of residence the Ilowing described real property for which a Homesiead Property Tau Credit is hereby claimed:
I(We) owned ❑ Are buying under coniract . -
Have a beneficial interest in ihe entiry ihat is liable for ihe property taxes on the property and ihat owns the property or is buying under a contract.
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tl buying on contmd, Fee Simple owneYS name - . � �� �- ..
Recorder's ottice where contrect is recortletl RecorG number Page
County
PROPERTY DESCRIPTION
Taxing �STfI��
oo`f-o(�39 I-�'�N� N�.J 13-�(-q �I.00r�c�:
It any portion of the residential stmcWre or the land not exceeding one (7) acre that immetliatety surrounds Nat structure is used to produce income, deunbe Ne use and portion
of the pmperty utilized m produce inmme.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
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�-eby cenify ihe above siatements are true, correct and complete.
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ASSESSOH USE ONLY . TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE �VALUE VALUE VALUE
Land noi exceeding 1(one) acre immediately
surrounding residential improvements. (�)
Otherland (p)
7otal land (line 7 plus line 2� (3)
Dwelling (4)
Residential improvements
Garage (5)
Oiher improvements (6)
Totai improvements (line 4 through line � (7)
7ota1 value (line 3 p�s line 7� (g)
I hereby certify ihe above i5 �rue, correCi, and SignaNre ot Assessor Date signed
complete.
�tying action - Signature of Auditor Date signetl