HomeMy WebLinkAboutHomestead_Horn�E R�{�
e� °, CLAIM FOR HOMESTEAD PROPERTY TAX
3��': CREDIT/STANDARD DEDUCTION
,�,;�'� State Form 5473 (R2/5-92) '
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INSTRUCTIONS: See reverse side lor liling instructions.
y�� FORM YEAR
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JAN 2 91993
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I(We) ��' . AI II'ieTt yd�ba�t on the 7si day of March, 19�
�''e) occupied s our principa6place of residence the following described real property for which a Homesiead Property Tax Credit is hereby claimed:
I (We) owned ❑ Are buying under cnniract . ..
Have a beneticial interest in the entiry ihai is liable for the property taxes on the property and that owns ihe property or is buying under a contract.
� . CONTRACTRECORDED � � � - .
11 buying on con;ract, Fee Simple ownefs name �
Recorder's o(tice where comract is recorded Record number Page
PROPEfiTY DE ON -
County Township ,. zin di t ict (cit , wq fawnship) ��
Parcel number Leqal des ripti n
- 5 �
If any ponion of the residential sVUCwre or the land not exceeding (7) acre that immetliatety surmuntls tha� structure is used ro produce income, describe Ihe use and portion
of the propeny utilized to produce income.
PHOPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township Counry
� � �--�—
certify ihe above statemenis are true, correci and complete. sl9namre o� ciaimam
" ASSESSOR USE ONLY
Land noi exceeding 1(one) acre immediately
surrounding residen�ial improvemenis.
Otherland
Total land (line 7 p/us line 2�
Dwelling
Resideniial improvements
Garage
Other impravements
Total improvemenis (line 4 th�ough line �
Total value (line 3 p�s line �
I hereby certify the above is true, correci, and
complete.
Veriying action - Signature ot Auditor
�, _!�� 19_Pay79_
I Lesser of 1/2 Homestead
Valuation or 52,000
Sgnature
I�
TRUETAX I ASSESSED
VALUE VALUE
r)
12)
(3)
(4)
(5)
(6)
I�I
(8)
Signamre ot Assessor
S
HOMESTEAD I NON-RESIDENTIAL..
VALUE VALUE
Date signed
Dare signed