HomeMy WebLinkAboutHomestead_Hightower;���T"'° ° CLAIM FOR HOMESTEAD PROPERTY TAX
j; CREDIT/STANDARD DEDUCTION
r State Fortn 5473 (R2 / S92) .
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INSTRUCTIONS: See ieverse side lor /iling instructions.
FORM YEAR
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�� CERTIFICATION STATEMENT
I(We) � W c i that 1 t y of M
I(We) occupied as our principal place of residence the f o' g described e property for which a Homes �� �� ��b� �i 'med:
❑ I(We) owned �❑ Are buyinq under coniract
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the properry or is buying under a contract.
CONTRACT RECORUED �
If buying on contrad, Fee Simple ownefs name '
Recordefs oifice where contrect is recorded Record number Page I.I
- PROPERTY DESCRIPTION I
Counry , Township Tauinq tlisirict (ciry, town, fownship) I
Parcel number � � � Leqal descnpiion
II any porGOn of the resitlential structure dr the land not exceeding one (1) acre that immediatey surtounds Nat sVUaure is used to produce income, tlescribe the use and portion of
the properry uulized to praduce income.
PROPERTY OWNED BV CLAIMANT IN OTHER COUNTRIES
County Tovmship County Township
SignaNre ( d �mani I
hereby certify the above statements are true, correct and complete.
Atltlress (number and street, ciry, state, ZIP cade
a �
ASSESSOR USE ONLY I TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not ezceeding 1(oneJ acre immediate�y (�)
surrounding residential improvements.
Oiherland (2)
Total land (line 7 plus line 2) (3)
Dwelling (4)
Residentiai improvements
� Garage (5)
Other improvements (6)
Total improvemenis (line 4 through line 6J (7)
Totai value Qine 3 plus line 7J (8)
I hereby certify the above is true, correct, and Signawre of nssesor oace signed
complete.
Verifying action - SignaWre of Audiror Dare signed
STANDARD DEDUCTION ALLOWANCE
. 19_ Pay 19 _
, Lesser of 1/2 Homestead �
Valuation or 52.000
SignaWre ot Audibr Date signeA
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