HomeMy WebLinkAboutHomestead_Taylor.�. ��� ��•��- CLAIM FOR HOMESTEAD PROPERTY TAX
� �� CREDIT/STANDARD DEDUCTION
i' State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side for filing instructions.
FORM YEAR
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FFa , � �nm
CERTIFICATION STATFM T
I(We) occupied as our principal place of residence the following d cribed rea pr�rty for which a Homes ead �p� T2�'�,�'�Td� is �i�i�oy cla med:
�We) owned ❑ Are buying under contract
ave a beneficial interest in the eniity that is liable for the property taues on the property and that owns the property or is buying under a contract.
CONTRACT RECORDED - �
If buying on conVact, Fee Simple ownefs name
Fecorders office where conVaci is recorded '. Recortl number � Page
PROPERTY DESCRIPTION
Counry Township T� g district (ci mwn, fownship) '
Parcel number Legal description
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If any portion ot the reside ial slrucWre or N ntl not ezceeding one (1) acre Ihat immediatey sunounds that swcture is usetl to protluce income, describe ihe use and ponion ol
Ne property utilized to produce income.
� PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township
Signa re o m
�ereby certify the above statements are true, correct and complete.
dress (num6erantls(2et, city, state, ZlPCOde)
3e2 A,e . �i .:v o,�
ASSESSOR USE ONLY TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding t(one) acre immediately ��� __ - � '
sunoundin9 residential improvements.
Otherland (2) .
Total land Qine 1 plvs line 2) (3) -
� Dwelling (4)
Residential improvements
Garage (5)
Other improvements (6)
Total improvemenis (line 4 through line 6J (7)
Total value (line 3 plus line 7) (8)
I hereby certify the above is true, correct, and Siqnamre of nssemr Da[e siqned
wmplete.
Verifying action - Signature of Auditw Date signed
STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead �
Valuation or 52.000
SiqnaWre oi Auditor Date siqnep 1
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