HomeMy WebLinkAboutHomestead_Berry (4)d�-��•, CLAIM FOR HOMESTEAD PROPERTY TAX
:'� y : CREDIT/STANDARD DEDUCTION
:' State Form 5473 (R2/1-90) �
�' '°,• � INSTRUCTIONS: See reverse side (o.r liling instructions.
CERTIFICATION STA
FORM YEAR
��j1p HC10 �
l'
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�I (We) ���fl�E�.� ��/�/ /l��s-.� � • certiff�dfi the .1st day of March , 19 �
I(We) occupied as our principal plac of residence t, �e, /fol�nwing described real property for which a Homestead
Property Tax Credit is hereby claimed: , f/�' I(We) owned ❑ Are buying under contract
�Have a beneficiaFinterest in the entity thatis liable for the property taxes on the property and that owns the
property or is buying it under a contract.
CONTRACT.RECORDED
H buying on contracl. Fee Simple Owner's Name
Recorder's office where contract is recorded �• . -• Record Number Page
County /j,/�
Legal
PROPERTY DESCRIPTION
„town,
If any portion of ihe residential sirucfure or the land not exceeding one (7 ) acre that immediately surrounds thai struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
Township
I hereby certify the above statements are true, correci and
Address
TRUE TAX VALUE
ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
veiuF
Landnote�ceediqg1(one)acreimmediately
surroundingie5idential�imptovemenis (�)
Other and (2)
Totd�F2���� (3)
Residential improvements - Dwelling �(4) � - � �� -- --- - —
Garage (5)
Other improvements (6)
Total improvemenis - line (4) ihrough 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 of Auditor Date Signed
1989 Pay 1990
Lesser of 1/2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7 991 1991 Pay 1992 19 — Pay 19 _
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of t/2 Homesiead
Valuation or $2,000 Valuation or 51,500 Valuation or S1,500
of Auditor � ,,�., � Date Signed