HomeMy WebLinkAboutHomestead_Frederick (6)e� �"rt � CLAIM FOR HOMESTEAD PROPERTY TAX
���': CREDIT/STANDARD DEDUCTION
�`; � State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reveise side !or /iling instructians.
CERTIFICATION STATEMENT
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�dU '�11R.8(-RAA.�xI. certify thai on the 1st day of March, 79�
as our principal place of residence ihe foliowing described real property for which a Homestead Property Tax Credit is hereby Gaimed:
� I(We) owned ❑ Are buying under contraci
❑ Have a beneficial interesi in ihe entity ihai is liable for the pmpeny taxes on the pmperty and that owns the property or is buying under a contract.
- CONTRACTRECORDED � - � -
If buying on tontraa, Fee Simple owner's name � ,
Recorder's oHice where contract is remrded Recortl numher Page
PROPEPTV
Gounry
Parcel number Legal descnpti n
fl 1°I -D�9 a I{S�-
It any portion of the residential swcture or the land not ezceedin one (t) aae that in
oi the properry utilizetl to protluce income.
PROPERTY OWNED BY C
Counry Township
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certity the above statements are irue, correci and complete.
(numberandstree(. ury, s(ate.
surtounds that structure is used ro produce
IN OTHER COUNTIES
tlescribe Ne use and portion
ASSESSOR USE ONLY .� TRUE TAX - ASSESSED HOMESTEAD NON-RESIDENTtAL
.VALUE VALUE VALUE VALUE
Land not exceedinq 7(one) acre immediately
surrounding residential improvements. � (�� �-
Oiherland (p) � _
Total land Qine 7 plus line 2� (3)
Dwelling (4) �
Residential improvements
Garage (5) - '.
Other improvemenis (6)
Total improvemenis (line 4 through lina � (7)
Total value (line 3 p�s line � (g)
I hereby certify the above is true, correct, and SignaWre oi Assessor Date signed
complete.
_��virg aUion - Signature oi Auditor Date signed
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79_Pay79_
Lesser of 1/2 Homestead
valuation or 52,000
Sgnature of Autlitor
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STANDARD DEDUCTiON ALLOWANCE
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