HomeMy WebLinkAboutHomestead_DeFelice�'"`5i""°- CLAIM FOR HOMESTEAD PROPERTY TAX
�; 4 CREDIT/STANDARD DEDUCTION
l' S�ate Fortn 5473 (R2 / &92)
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� INSTRUCTIONS: See reverse side (or filing instructions.
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AYk 2 9 1999
CERTIFICATION STATEMENT
��JJe) . � ceRif��n�the 1 st dapaF
I(We) occ pied as our principal e of residence th f lovring described reai property for which a Homestead Property Taz Credit is h��i¢�i��c aimed:
❑ I(We) owned ❑ Are buying under contrac � �
❑ Have a beneficial interest in the entiry that is liable tor the property taxes on the pmperty and ihat owns ihe property or is buying under a wntraci.
� CONTRACT RECORDED
Ii buying on contraa, Fee Simple owners name .
Recortlers office where conVact is recorded Record number Page
PROPERTY DESCRIPTION
Counry Tovmship Taxing�Et�irict (ciry, rown, tamship)
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Parcel number Legal descripUOn
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If any rtion of the resitlenllal swcture or the land not ceeding one (t ) acre ihat immediatey surtounds that s[ructure is used to produce income, tlescribe the use and poNOn of
Ne property utilized ro produce income. •
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTRIES
Counry Township Counry Township
Si n ure aimant
�ereby certify the above statements are true, correct and complete. � .
Atldress (number and street, city, s(ate, ZlP code) '
ASSESSOR USE ONLY TRUE TAX _ ASSESSED � HOMESTEAD NON-RESIDENTIAL
VALUE� VAWE VALUE VAWE
Land not exceeding 7(oneJ acre immediately (�)
surrounding residential improvements.
Oiherland . (2)
Total land (line 7 plus line 2) (3)
Dwelling (4)
Residential improvements �
_ Garage (5)
Other improvemenis (6)
Total improvements (line 4[hrough line 6J (7)
Total value (line 3 plus line 7) (8)
I hereby certi(y Ihe above is true, correcl, and Signature of Assesor Da[e signetl I
complete.
Veritying action - Signature of Auditor Date signetl
� STANDARD DEDUCTION ALLOWANCE
19_ Pay 19 _
Lesser of 1/2 Homestead S
Valuation or 52.000
Sig re ol utlitor � Date signed