HomeMy WebLinkAboutHomestead_Johnsd.�� �{ CLAIM FOR HOMESTEAD P,ROPERTY TAX . FORM YEAR
:� � . CREDIT/STANDARD DEDUCTION - � Hc�o �
,•;��' State Form 5473 (R2/1-90)
INSTRUCTIONS: See reverse side for filing instructions. �
CERTIFICATION STATEMENT '
�I (We) 1J9�7-� Q• � �• ertify that on the tst day of March , 19 �Z
Ve) occupied as our principal place of residence the f lowing described real property for which a Homestead
roperty Tax Credit is hereby claimed: (We) owned ❑ 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 it under a contract. .
CONTRACT R
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded
PROPERTY DE
County . � • � Townshi� , ��
� 7U�
IRecord Number, I Page �
, town, township) .
Parcel Number Legal escriptio � �i� .
�I`i -000a� ���� . �y 63
If any portion of the residential structure or the land t exceeding one (7 ) 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 OTHER COUNTIES
�—
certify ihe above
Address
ASSESSOR USE ONLY
iowiisiuN �—
ents are true. correci and
state and ZIP code)
TRUE TAX VALUE � ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
' VALUE
Landnotexceedingl(one)acreimmediately - �
surrounding resideniial improvements (�)
Otherland (2)
Total land - line (t ) plus line (2) (3)
Residential improvements Dwelling (4) _ .
Garage (5)
Oiher improvements (6)
Total improvements - line (4) ihrough line (6) (7)
Total value - line (3) plus line p) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Audilor Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990 1990 Pay 7991 1991 Pay 1992 19—Pay 19_
Lesser of 1/2 Homestead Lesser of 7/2 Homestead Lesser of 1/2 Homestead Lesser of 7/2 Homestead
Valuation or $2,500 Valuation or $2,000 Valuation or $1,500 Valuation or $1,500
.�—
Signature of Auditor � Date Signed
� 5-9-9�