HomeMy WebLinkAboutHomestead_Blackburn (5)d..�p•, CLAIM FOR HOMESTEAD PROPERTY TAX
�-y ` CREpIT/STANDARD DEDUCTION
� .' State Form 5473 (R2/t-90) -
�'°�• � INSTRUCTIONS: See reverse side for liling instructions.
I (we)
CERTIFICATION STATEMENT
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that on the 1 st day
DEC 7 1992
((We) occupied � our principal place oi residence the following described real property for which a Homestead
Property Tax Credit is hereby claimed: ��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 contract. Fee Simple Owner's Name
Recorder's office where contract is recorded Record Number Page
PROPERTY D
Legal
town, township)
If any portion of tFie residential structure or ihe land not exceeding one (1) acre that imm�diatel�'surrounds that 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 County
� �
hereby certify ihe above statemenis are true. correci and
Address (Street. number, city, state and
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land notezceeding 1(one)acreimmediately �
surrounding residential improvemenis (�) '
Oiherland � (2)
Total land - line (1) plus line (2) (3) �
� Residential improvements Dwelling (4) � � � � -
Garage (5)
Other improvements (6)
Total improvemenis - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify ihe above is true, Signature o( Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
: 1989 Pay 1990
Lesser of 7/2 Homestead
Valuation or $2,500
Signature of Auditor
STANDARD DEDUCTION ALLOWANCE
1990 Pay 7991
Lesser of 1/2 Homestead
Valuation or S2.000
�
1991 Pay 1992
Lesser of 1/2 Homestead
Valuation or �1.500
79—Pay 19—
Lesser of 1/2 Homestead
Valuation or �,1,500
Date :
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