HomeMy WebLinkAboutHomestead_Heidena°/'��°s CLAIM FOR HOMESTEAD PROPERTY TAX ,
}��;; CREDIT/STANDARD.DEDUCTION
:.��:,� Slaie Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See �everse side for filing instructions.
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APR 2 4 999T
') occupied as our principal place of residence the follovring descritied real property tor which a Homestead ProperTy`Yax`CfedB'is heYeTi'y c7aim�d
, _
I (We) owned _ ❑ Are buyinq under contract � : � . � . . . .
Have a beneticial interest in the entity ihat is liable for ihe property taxes on }he property and ihat owns ihe property or is buying under a contraci.
� � � � - � CONTRACT RECORDED � ' ' - -
If buyirg on wntract,.Fee Simple owner's name � ' . �� ' , .
Recordefs ottice where wntract is recorded Record number Page
PROPERTY DESCflIPTION
' • • � Township .
i �Y '
�r Legal desaiptio
of the residential strucmre or the land not exceeding one (7) aue
y utilized to produce income. .
�2L�Lf - / C S/ � - � /J O/ L{S "-
surrounds ihat swcture is used to produce income. descnbe the use antl portion
ASSESSOR USE ONLY � TfiUE TAX ASSESSED MOMESTEAD NON-RESIDENTIAL
. " VALUE � VALUE VALUE � VALUE
Land noi exceeding 7(one) acre immediatety � �
surmunding residential improvements. (�) �
Oiherland (2) �
Total land (line 7 plus line 2� (3� �
� Dwelling (4)
Residential improvements
. Garage (g� �
Other improvements (6)
Total improvemenis (line 4 through line � (7)
Total value (line 3 pUs line 7� - (g)
I hereby certify ihe above i5 irue, correci, and Signanre oi Assessor � � Dare signed
complete.
�-�fying aciion - Si9nature oi Autlitor Date signed
� � -� STANDARD DEDUCTION ALLOWANCE � -
19_Pay79_
Lesser of 7/2 Homestead '
Valuation or 52,000 �
Signature of Audi;or Date signed