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CLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT/STANDARD DEDUCTION. ,
State Form 5473 (R2/1-90) ' "
INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
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I(We) �1-L,IQ� � certify that on_fhe 1st day of March , 19 �
I(We) occupied as our prin ipal place f residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: [� 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
County
- PROPERTY DESCRIPTION : ., ., _ _
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town,
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If any portion of the residentiai 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.
ASSESSOR USE ONLY
TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE
NON-RESIDENTIAL
VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvements (�)
Other land (2)
Total land - line (1) plus line (2) (3)
Residential improvements Dwelling (4) - - • • -
Garage (5)
Other improvemenis (6)
Total improvements - line (4) through line (6) (7) �
Tolal value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Aciion - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
Signature of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7991 1991 Pay 1992 19—Pay 79—
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or �1,500 Valuation or 51,500