HomeMy WebLinkAboutHomestead_SchleterCLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
i•' -: CREDIT /STANDARD DEDUCTION HC10
State Form 5473(R2 / 5 -92)
INSTRUCTIONS: See reverse side for filing instructions. rn iYfl w �1
reonelreTinxr erwreucxr1r 'i9
I (We) W L,j(J?C/n yg- k-A .
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occupied as our principal place of residence the following described real property for which a
(We) owned ❑ Are buying under contract
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property an 11
th3te 1st day of March, 19
Proggrty Tax qredi/t hereby claimed:
under a contract.
CONTRACT RECORDED - - -
If buying on contract. Fee Simple owner's name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION -
County
Township -
Taxing dist dty, town, ownship) -
Parcel number
Legal description
Sign%prej claimant
Address in um er andstreet. city. state, ZlPcode)
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
Other land
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
-eby certify the above statements are true, correct and complete.
Sign%prej claimant
Address in um er andstreet. city. state, ZlPcode)
ASSESSOR USE ONLY
TRUE TAX
VALUE
ASSESSED
VALUE.
HOMESTEAD
VALUE
NON-RESIDENTIAL -
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements.
(1)
Signature of Auditor
Other land
(2)
Date signed
Total land (line I plus line Z)
(3)'
J _
Residential improvements
Dwelling
(4)
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 phs line 7) -
(g)
I hereby certify the above is true, correct, and
complete.
Signature of Assessor -
Date signed
Verifying action - Signature of Auditor
Date signed
' STANDARD DEDUCTION ALLOWANCE
19 _Pay 19_
Lesser of 1/2 Homestead
Valuation or $2,000
S
Signature of Auditor
Date signed
J _