HomeMy WebLinkAboutHomestead_Byrns (7)e`��-�� a CLAIM FOR HOMESTEAD PROPERTY TAX
iE�� CREDIT/STANDARD DEDUCTION
,�,`�� State Form Sa73 (R2 / 5-92)
�a.
INSTRUCTIONS: See reverse side !or liling instrucfions.
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YEAR
1 r e) � C[J //Y � d- ' arGl. 79_
occu ied as our rinci al lace of residence ihe foliowin d scribed real ro ert tor which o�� ea'd o���Tv
�) p p p p g p p y � p�rty TaS��� hereby daimed:
[.vf (We) owned ❑ Are buying under contract
L� Have a beneficial inierest in ihe entity thai is liable for the property taxes on the property and that owns the property or is buying under a contract.
� � � CONTRACT RECORDED � -- - �
If buying on coNract, Fee Simple owner's name � '
Remrder's oflice where wntract is recorded qecortl numher Page
Cauny
Pa¢el
portion of the residential sm
propeny utilized to produce
- � � PROPERTY DESCRIPTION �
Township - - T�ing district (aty. town, township)
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or ihe land not exceeding one (1) aae that imm . tety surwunds that structure is used to produce income, describe Ne use antl portion
� PROPERTV OWNED BV CLAIMANT IN OTHER COUNTIES
County Township Counry Towns�ip
�by certify ihe above statemenis are true, correci and complete. Sign e ot aaimam
.
Address (numbei arid streeC dry, sfate. ZlP code)
,3 m -fl .'
. ASSESSOR USE ONLY TRUE TAR ASSESSED .HOMESTEAD NON•RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvements. (�) - "
Otherland ' (p)
Total land Qine t plus line Z� (3)
Dwelling (4) � . '
Residential impmvemenis �
Garage (g)
Oiher improvements (6) �
Total impmvemenis (line 4 thiough lina � (7)
Total value (line 3 p�s line � �g)
I hereby certify the above is true. correct, and . Signamre ot Assessor Date signed
complete.
v=d:ying action - SgnaWre of Autlitor Date signed
2
19_Pay79_
Lesser of tl2 Homesiead
Valuation or 52.000
ot Autlitor
3