Homestead_Waltond�;�.,t CLAIM FOR HOMESTEAD PROPERTY TAX � ,eaR
:�'"`-w = CREDIT/STANDARD DEDUCTION Hci
��� State Form 5473 (R2/1-90)
.'°'• INSTRUCTIONS: See reverse side (or liling instructions. ���' � ��'�'� �/
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CERTIFICATION STATEMENT
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I(We) � A certify that on the tst day of March , 19�
I(We) occupied as our principal place of 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 tiuying it under a contract.
CONTRACT RECORDED
ng on contract. Fee Simple Owner's Name
der's office where contraci is recorded
PROPERTY DESCRIPTION
County
Record Number
, town,
Page
Parcel Numbe L I Uescn Uon •
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If any portion of.the resideniial siructure or the land not exceeding one (1) 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 7(one) acre immediately
surrounding residential improvemen[s ��)
Oiherland (Z)
Total land - line (7 ) plus line (2) (3)
Residential improvements Dwelling (4) - - - � - •
Garage (5)
Other improvemenis (6)
Total improvemenis - line (4) through line (6) (7)
Total value - line (3) plus line (7) (S)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
1989 Pay 1990
Lesser of 1 /2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992 19 — Pay 19 —
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 $1,500
Signature of Auditor Uat �
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