HomeMy WebLinkAboutHomestead_Hill (12)�.�A 4 CLAIM FOR HOMESTEAD PROPERTY TAX • FoRM VEAR
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�: . -, : CREDIT/STANDARD DEDUCTION Hcio
:' State Form 5473 (R2/1-90)
�' '°;° � INSTRUCTIONS: See reverse side for filing instructions.
CFRTIFICATI(1N CTATFIUFNT� � ✓
�_ (We) _� .jC��J�'U./� ���C � " certify that on the tst day of March , 19 �
I(We) occupied as our principal place of residence the followi cribed 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 tor the property tax��h pr��gar�i that owns the
property or is buying it under a contract: ' ��
If buying on contract.
County
Numper
U�
CONTRACT RECORDED
contract
PROPERTY
Township
Legal Description
APR 2 21991
�
If any portion of the residential struciure or the I�nd no[ exceeding one (1) acre that immediately 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 OTHEFi COUNTIES
Township • County
1 hereby�certify the above statements are true, correct and
state
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding 1(one) acre immediately �
surrounding resideniial improvements (})
Oiherland (2)
Total land - line (t) plus line (2) (3)
Residential improvements Dwelling (a) - - - -
Garage (5)
Other improvements (6)
Total improvemenis - line (4) through 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
Lesser of 1/2 Homestead
Valuation or $2.500
�
Sian re f Auditor
STANDARD DEDUCTION ALLOWANCE
7990 Pay 7991
Lesser of 1/2 Homestead
Valuation or $2.000
1991 Pay 1992 79—Pay 19—
Lesser of 1/2 Homestead Lesser of 7/2 Homestead
Valuation or �1,500 Valuation or �7,500
Date Signed
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