HomeMy WebLinkAboutHomestead_Shoultz (7)..••_��. CLAIM FOR HOMESTEAD PROPERTY TAX
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�• � .� State Form 5473 (R2/1-90) �� �l
�'°° � INSTRUCTIONS: 'See reverse side for liling rnstructions. .' �,('1�
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'�' � CERTIFICA,TION STATEMENT
FORM
HC10
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I(We) �� ertify that on the 1 st day of March , 19 � I
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I�) occupied as our principal place o( residence the foll ing described real property for which a Homestead
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Property Tax Credit is hereby;claimed: I(We) owned ❑ Are buying under contract
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� Have a beneficial interesttin the entity that is liable for the property taxes on
property or is buying it under a contract.
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I( buying on contract, Fee
where
CONTRACT RECORDED
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' PROPERTY
ownship
IPTION
od-t#at owns the
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r i N moer �e ����
�-�/2 Q� oo ; , s - /o , G �d
If any portion ot ihe �esidential stiucture or the land not exceeding one (1) acre that immediately surrounds that struc-
ture is used to produce income d,escribe the use and portion o( the property utilized to produce income.
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PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Couniy '� Township County
certify the above statements are true, correct and � Sign2ture
>(Street, number, city, siate and ZIP code)
ASSESSOR USE ONLY ' TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
Land no� exceeding 1(one) acre immediately , �
surrounding residential improvements (� 1
Otherland ; � (2)
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Total land - line (7) plus line (2) (3)
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Residential improvements Dvrelling (4)
Garage (5)
Other improvemenis (6)
Total improvements - line (4) ihrough line (6) (7)
Totai value - line (3) plus line (.7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and compleie
Veri(ying Action - Signature of Auditor Date Signed
�STANDARD DEDUCTION ALLOWANCE
1989 Pay 7990 1990 Pay 1991 1991 Pay 1992 19—Pay 19_
Lesser ot il2 Homestead Lesser o( 1/2 Homestead Lesser of 1/2 Homestead Lesser of t/2 Homestead
Valuation or �2,500 r`•;" Valuation or �2,000 Valuation or $1,50o Vatuation or $1,500
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SigqatC7Y�e of Audilor