Homestead_Utley..••�•�. CLAIM FOR HOMESTEAD PROPERTY TAX
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3'� y ° CREDIT/STANDARD DEDUCTION
� .� State Form 5473 (R2/1-90)
�' '•�• � INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
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MAR 16 1992
I(We) V�_ N:'� l.l.• certify that on the 1 sY`8'a�f'��R� ��
f(We) occupied a our principal place of residence th ollowing described real property for which a Homestead
Property Tax Credit is hereby claimed: �1 (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
If buying on contracL Fee Simple Owner's Name
Recorder's office where coniract is recorded Record Number Page '
PROPERTY DESCRIPTION
Couniy
town,
7 ,
Parcel Numbe�r 11 f I Legal Descriptiorf��" n/� 15�a- �� °� ���—
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If any portion of the residential 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.
County
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township-
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hereby certify the above statements are irue, correct and
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ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE � HOMESTEAD VALUE NON-RESIDENiIAL
VALUE
Land not exceeding 1(one) acre immediately '
surrounding resideniial improvements (�)
Other land (2)
Total land - line (1) plus line (2) (3)
Resideniial improvements Dwelling (a) - -
Garage (5)
Oiher improvements (6)
Total improveinenis - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true. Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature oi Auditor Date Signed
1989 Pay 1990
Lesser of 7/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1997
Lesser o( 7/2 Homestead
Valuation or $2.000
1997 Pay 1992 79—Pay 19—
Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or �7,500 Valuation or �1,500
Signature of Auditor � � ,.-�n I Date Signed
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