HomeMy WebLinkAboutHomestead_Hixd..�; , CLAIM FOR HOMESTEAD PROPERTY TAX
� � ' CREDIT/STANDARD DEDUCTION
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� � State Form 5473 (R2/1 90)
''°�° �� INSTRUCTIONS: See reverse side lor liling instructions.
CERTIFICATION STATEMENT
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J AN 16 1992
I(We) �().X�11_�-_�_(,a/1 _�,/J�,Lp.�/��(L_certify that on tR�ivev��� dh , 19�
i(We) occupied� s our principal place of residence t,.h,_e, /following described real property for which a Homestead
'Property Tax Credit is hereby claimed: L�] I' (We) owned ❑ Are buying under contract
� Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the
property or is buying it under a contract. �
CONTRACT RECORDED
If buying on coniract. Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number . Page
PROPERTY DESCRIPTION
Township Taxing Distriy
Le9al
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If any portion of the residential structure or the land not exceeding one (t ) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY �OWNED BY CLAIMANT IN OTHER COUNTIES
Township County
hereby certify the above statements are irue. correct and
Address (Streei. number. city, state and
ASSESSOR USE ONLY ' TRUE TAX VALUE ASSESSED
�
HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land noi exceeding 1(one) acre immediately � � �
surrounding residential improvemenis (�)
Otherland (2)
To�al land - line (1) plus line (2) (3)
Residential improvements - Dwelling - (4) - - - -- - --
Garage (5)
Other impravemenis (6)
Total improvements - line (4) through fine (6) (7)
Total value - Iine (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
7989 Pay 1990
�ser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7 991 1991 Pay 1992 19 — Pay 19 _
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of t/2 Homesiead
Valuation or $2,000 Valuation or S1.500 Valuation or $1,500
Signature of Auditor I Date
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