HomeMy WebLinkAboutHomestead_CaringerCLAIM FOR HOMESTEAD PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R715-0% V
Preacrioad by ft Depenrnant of Local Gaveffirrort Financa
INSTRUCTIONS: See reverse side for 1767g instructions.
CEIZMCATION A �TFAM
I (we)
I (We) occupied as our qr)fapaj place of mdwm the bBodrkg described real pop" for
IN
that on the I st day of March, 20_
Property Tax Credit is hereby claimed:
I (We) amend LJ Are buying under contract
Have a beneficial interest in the entity that is liable for the property taxes on the property and that owns the property or is buying under a contract
PROPERTY OESCPJPT16N k!
''..''.CONTRACT. RECOROEr,,T,1,-x,',
ToNnship
County
Thmig d
.
n atnct (ray, (ray, &nmr, townsho)
If buyng on mrtracl, Fee Single owners name
L%sl description
Is the property in tion:
question.
&"K� 69 1 hC] Rest prop" ❑ Mobile Home (W. &1. 1-7)
If + portion of the resderdml Struchire or the lard not VKme&V
one (1) acre Dot 4 innerliabaly surrounds Ittal atruch" is used to produce ircorne, descrbe them and portion
of " pop" Wilized to produce mcorne.
V
Valuation or $35.000
;Z10-13 -19- 0z0a -000. o
3 & -0o
mcLand
Recordees office w1mrs contract is necerded
1Date signed
Record number
Page
PROPERTY OESCPJPT16N k!
C-K*y
ToNnship
County
Thmig d
.
n atnct (ray, (ray, &nmr, townsho)
Parcel nwrdw
L%sl description
Is the property in tion:
question.
&"K� 69 1 hC] Rest prop" ❑ Mobile Home (W. &1. 1-7)
If + portion of the resderdml Struchire or the lard not VKme&V
one (1) acre Dot 4 innerliabaly surrounds Ittal atruch" is used to produce ircorne, descrbe them and portion
of " pop" Wilized to produce mcorne.
V
Valuation or $35.000
;Z10-13 -19- 0z0a -000. o
3 & -0o
PROPERTY OWNED BYCUUMANT IN'OTHER'COUNIIES
Catzrity
Toornship
County
Township
I hereby certify the, above staternents am true, correct and complete.
ckainmrd
W77andabuw dly sate. ZB3 Code) 6
1 S. Fpur4i Sf - Frcmeisco. ZO 'q 7 4P4 c?
ASSESSOR 'it' ONLY .
-TmETAX.-%�,,-
ASSESSEDVALUE
'CiF '
1FAD
'A-'VRNON4tESlDENTLAL<'Vj,
Lesser of 12 Homestead
'AT ,10^ TTV
�X" VPIAJE
$
not exceeding I (one) acre iffrinedishaly
Valuation or $35.000
mcLand
surrounding residential
1Date signed
Other law
(2)
Tctd land (1km I plus bare 2)
(3)
Dweffing
(4)
Residenlial irnproveinents or Annually.
Garage
Assessed Mobile I Manutactuled Hom
(5)
hh
Other onpromernents
(6)
Tdal inprovernents (&m 4 through fine 6)
(7)
Trial value (fine 3 joks One 7)
(8)
I hereby car* the above is true, correct, and
omViete-
Signabrre of Asessor
Date signed
Vwrtyft action - Surat" of A4W
Date signed
-ISTANDARD DEDUCTION ALLOWANCE,? ,
n.
20— Pay 20—
Lesser of 12 Homestead
$
Valuation or $35.000
Sgnature of AmMor
1Date signed