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� i CLAIM FOR HOMESTEAD PROPERTY TAX
���� CREDIT/STANDARD DEDUCTION
.�.` � Su;e Form Sa73 (R2 / 5-92)
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INSTRUCTIONS: See reverse side 7oi liling
as our principal �ce oi residence ihe following described real
v
LI 1(We) owned ❑ Are buying under contract . . .
❑ Have a beneficial inierest in ihe eniity thai is liable for the property taxes on ihe property and thai owns ihe property or is buying under a contract.
FORM YEAR
� HC. 0_,
�� �
�r.j{]�I,or�Se iSF March. 79_�S
which a Homesiead Pr����i(� it is hereby claimed:
- - � ' �CONTRACTRECORDED �� �
If buying on contract, Fee Simple owner's name ,, _ � _ � _,
Recordefs office where tontratt i5 reCOrded Record number Page
PROPERTY DESCRIPTION
Coun.y
mwn.
Parcel number L es n ion
�o�l -�o�oos � �� N�� 3a-3-� i . ���
It any portion ot ihe residential struaure or Ihe lantl not ezceetling one (7) acre thai immetliately wrmunds that structure is used to produce income, describe Ne use antl portion
of �he property ulilized to produte inCOme.
�c��-/o�-3�-/�v-UO/. �o� Do?j� .
ASSESSOR USE ONLY TRUE TAX . ASSESSED HOMESTEAD NON•RESIDENTIAL
VALUE VALUE VALUE � VALUE
Land not exceeding t(one) acre immediateiy
surrounding residential improvemenis. (�)
Otherland (z)
Total land (line 1 plus line 2) (3)
Dwelling (4)
Residential improvements
Garage �5) ..
Other improvemenis (6) � .
Total improvements (line 4 thiough line � (7) (
Total value (line 3 p�s line 7� �g)
1 hereby certify Ihe above i5 trUe, correGi, and Signature of Assessor Date signed
complete.
tyrtg aaion - Signamre ot Auditor Da;e signed
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