HomeMy WebLinkAboutHomestead_EarlesCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD-DEDUCTION
S�ate Fortn 5473 (R2 / 5-92)
INSTRUCTIONS: See reverse side lor filing instructions.
ST
FORM YEAR
C10 • �: �
. �i.�
I(We) i� J c rtify thatan`the tst day oEMarcyh, 19_
I(We) occupied as our princi,,. place of residence the following described real property for which a Ho en�kf�epe�Ta',x�C �uu i J�6y�claimed:
❑ I(We) owned ❑ Are buying under wntract
❑ Have a beneficial interest in the entity ihat is Iiabie for the property ta�ces on the property and that owns the property or is buying under a coniract.
on
oHice where conVact is recordetl
c�c.�o - �.v iy�� i
If arry ponion ot the residential structure or ihe IaM fwi
ihe property ulilized to protluce incame.
CONTRACTRECORDED
PROPERTY
acre
OWNED BY CLAIMANT IN OTHER COUNTRIES
I hereby certi(y the above statements are true, correct and complete:
A�dress (num6e� antl st2el, ciry, state. Z/P cotle) n ^
ASSESSOR USE ONLY
Land not exceeding 1(one) acre immediatety
surrounding resideniial improvements.
Oiherland
Total land Qine 7 plus line 2)
Dwelling
Residential improvements
Garage
Other improvemenis -
Total improvemenis (line 4 through line 6)
Total value (line 3 plus line 7)
I hereby certify the above is true, correct, and
19_ Pay 19 _
Lesser of 1/2 Homestead
Valuation or 52.000
of Auaitor
I�)
IZ)
(3)
(4)
(5)
(6)
(�)
IB)
to
�!>6 Z cJ
ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE - VAWE VALUE
STANDARD DEDUCTION
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