HomeMy WebLinkAboutHomestead_BreidenbaughCLAIM FOR HOMESTEAD PROPERTY TAX
CREDITISTNVDARD DEDUCTION
smre rw� s�rs �R� i 5�
Reaabad by Ihe Depatrnent d Lordl Gorertmerq Fr�ar�m
INS7RUCTIONS: See reverse side for filing instructinns.
'- �.-. ,. ...,�.�. _ ., . ' ... ' `` ' . . _"i-i � ' � . C62Tff7CAA
I (we) ' W IX.Lt�/ ►���-u-!I
I(We) oowpied as ac prmdpal plarc M residence fhe fo8owirg desrnbed real popeAy (ar whirh a na�i
,�(We) oMTied ❑ Me Wrymg unda contrad �
Have a benefiaal mferest m fhe entity that is liade fa Cie poperty laxes m Me popaty anA tlat owns
..�oc
• '� - - .. . CON7RACT:RECORDmi, c : `
M WyYg om m�traG, Fee Simpe ownefs reme
f�mrdefs d6m Miae oordlad'u recada0
..:;n . . . .. .
FORM �
HC10
� n� t� aay or r.�a,, so_
�Z� �Q.redt is hereby daimed:
rt1F6r,fgbuymg under a oontract
Recad number � Pepe
�1 p Tamg drstricl (dy f . � .
�nurma^� � 2� � Le9� Astaiptim Is tl�e n question:
- O�V�C �.�-C.J� propalY ❑ MabikHonie(LC.61.1-� �
M erry portion d the r�ideNial atruchae a Ihe Imd nal �ng ona (1) ave Mat irured�lely amaa� tliat 9n�Ara is used b W�e iworrie. deszrbe ihe m md pvtion
d the praparry Wif�d m pmdra u�mne.
���.x` � .0.SSESSORUSEONLY�." �y s�xrt�.."7irilETAX ASSESSEDVALUE �FiO�S7EADi i�'��NON�tES106i71AL��:,�ri��
c. �� VALUE:n �AT100%OF-TTV t ._-VALUE.s.! f�;es � hT VALIJEy.� f� r.
..�n°.` v> ♦ i �ia.. �. . � � d .o � S . : ii.+f E��k.:'w'�. .._�..�t....x�. {fk.
Lard not e�rg 7(one) aae irm�ediately .. . - :7�' +4� 4`��`�Tr"',`�?"�+� ��.���i S�^/��
s�arwndirg rE5id2nh21 irtlpOVert�enfs. �. .(� � .3 t�.aE'v���::v K'�s "'„�`6x; �;u�.�i.i:�
O�her�and (2) ,�::�����ro ,��.;
Td� land (lire 1 pAu �ire 7) (3)
� � � wJt e fc 4lsT1' i�vr :t�.
o.��r� �a� ,�ya'+'"���'� '�:'�. :�'�'�'��
RCSidM1681'vnprOVflments wAmnWlly '-t s..'�� ,.sr.�;•t� }s' �. �
c�Y. �a r ��n.. ..e•
3 � ��9;
0.ssessed Mo6de / Almn�ch+ed Hort�e � � � "" �.�j�.F�1 �qT �L�.•} :C:. N
� (5� `�ei��tA�si�1���� 1ii�<,.+ ��
Otller'unpovm�en� �g� �i �.� ,,. j�l.i..l ...i..<
TUaI 'vnprovernerAS (fvre 4 tfwugh Bne 6) i7�
Tdal value (line 3 pl�s Bne � (g)
I hereby certiTy Ihe a6ove is true. mrteU. and Sie�+e o(Ae�u Dafe eq+ed
mnp�te.
Veilyi�g ection - Si�aNe of Au� DaOa cipnad
. . y;:�:
2Q _ Pay 2b _
Lesser of 12 Homestead
Valuation w 535.000
f
�
�
d�.� �., CLAIM FOR HOMESTEAD PROPERTY TAX
;'""-y ' CREDIT/STANDARD DEDUCTION
:� State Form 5473 (R2/1-90)
�' '•�: � INSTRUCTIONS: See reverse side for Iiling instructions.
CERTIFICA
FORM YEAR
HC10 v
�5-ao39�
I(We) �v '�e�y that on t��day of March , 197 (Z
'(We) occupie as our p� incipal plac esidence the tollowing described real property for which a Homestead
I ,--,�
roperty Tax Credit is f�er�by �I�t�Ad: pG' i(We) owned ❑ Are buying under contract
� Have a ben�r t i th�e e�ntity that is liable for the property taxes on the property and that owns the
property or is buyiq��i8 tract.
CONTRACT RECORDED
If buying on contract. Fee Simpte Owner's Name
Recorder's office where coniract
PROPERTY DESCRIPTION
y Taxing District (City, town, township)
P�Su _L���I "D „�I Legal Description \ , `� � �II I I `rn ��
fz ) 1� lJl P��l� � lti� _-��
If any portion of ihe residential structure or ihe land not exceeding one (7 ) acre that immediately surrounds that struc-
ture is used to produce income describe the use and portion of the property utilized to produce income.
�/_ _/�'-� � ��-�. 34� -a�/,
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township County Townsh�. �
---�—
`+ereby certify the above siatemenis are Vue. correct and Sig a re
.,omplete.
Address (Street, number. city. state and ZIP code)
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding 1(one) acre immediately
surrounding residential improvements (�)
Other land (2)
Total land - line (7 ) plus line (2) (3)
Residen[ial 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
sser of 1 /2 Homestead
Valuation or $2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991
Lesser of 1/2 Homestead
Valuation or $2,000
1991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or 51,500 Valuation or $1,500
Signature of Au itor Date Sfgnf
�% .,� ,� a l� �Yl 4�e,c�— 5— I—