HomeMy WebLinkAboutHomestead_Weber (9)�
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' a.���,t CLAIM FOR HOMESTEAD PROPERTY TAX
;� y � CREDIT/STANDARD DEDUCTION
` .� State Form 5473 (R2/1-90)
�'°�• � INSTRUCTIONS: See reverse side (or liling instructions.
� 1 � CERTIFICATION STATEMENT
FORM
HC10
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YEAR
�10
V
I(We) ����� V� •°� V Q�r�i . �W.�vi certify that on the 1 st day of March , 19 �
`l occupied as our principal place of residence ihe foilowing described real property for which a Homestead
P� erty Tax Credit is hereby, claimed: ,�f'(P�) owned ❑ Are buying under contract
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� 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.
It buying on coniracl,
Recorder's of(ice
Simple Owner's
coniract is recorded
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i Legal
CONTRACT RECORDED
PROPERTY
W �a IVIt) ��I
Number
town,
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It any portion of the residential strucWre or the land not exceeding one (t) acre ihat immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
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PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
��y I,: Sownship
certily the above statemenls are true, correct and
: .
;(Street, number, ciry, state and ZIP code)
ASSESSOR USE ONLY � TRUE TAX VALUE
County
ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
land not exceeding 1(one) acre immediately
surrounding residential improvemenis (� �
Other land : (z)
Total land - line (t) plus line (2) (3)
fiesidential improvemeNS �Dwelling (4) �
Garage (5)
� O�her improvements � � (6) �
Total improvements - line (4) Ihrough line (6) (7)
Tolai value - line (3) plus line (7) (8)
I hereby certify ihe above is true, Signature of Assesor Date Signed
correct, and complete
Veri(ying Action - SignaWre of Auditor Date Signed
� 1989 Pay 1990
Lesser o( 1/2 Homestead
Valuation or �2,500
Signalure of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7991
;'.Lesser ol t/2 Homestead
;� : Valuation or $2,000
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1991 Pay 7992
Lesser oi 1l2 Homestead
Valuation or $1,500
19—Pay 19—
Lesser of 1/2 Homestead
Valuation or $1,500
Date Signed�
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