HomeMy WebLinkAboutHomestead_Knight (2)a`�����R', CLAIM FOR HOMESTEAD PROPERTY TAX
z��p�.�p�'E CREDIT/STANDARD DEDUCTION
.�'�m�.��� Siate Form 5473 (R2/5-92)
�_J'
i�u
INSTRUCTIONS: See reverse side 7or /iling instructions. C
J
� �
.-
I',�' (I'i�
�� C' 1
i
�'e) _ _�� � � certify th3Y6fYk�e-etis1l��!l To�f�.{par�p��
I(We) occupied as o•� rinci al place of residence the following described real property for which a Homestead Property Ta[SSR,+N RWt�r�by claimed:,
❑ I(We) owned ❑ Are buying under contract . .
❑ Have a beneficial interesi in the entity ihat is liable for the property taxes on the property and that owns ihe property or is buying under a contract.
. - CONTRACTRECORDED � -
It huyinq on contraG. Fee Simple owner's name . . . - �
Recorder's oHice where croniract is recorded Record number Page
County
It any portion of
of the property i
PROPERTY DESCRIPTION
T�R�g dis�rict (ciry, ta_r�fownship)
I tiF'.Jl J� , l d' �. - I O �� l':U�T eL Q r _
or the lantl not ezceeding one (1 � acre ihat immediatety surrounds ihat swcture is usetl to produce income, describe the use and portion
e.
PROPERTV OWNED BY CLAIMANT IN OTHER COUNTIES
�^unty Township County Tawnship
I hereby certify the above statements are true, correct and complete. � Siqnar o�ciaimam
Address (num6e� and streef. ciry. sfare, Z1P code)
/52 5. /�i.t/ ST D �.
ASSESSOR USE ONIY TRUE TAl( ASSESSED NOMESTEAD NON•RESIDENTIAL.
VALUE VALUE VALUE VALUE
land noi exceeding t(one) acre immediately
surrounding residential improvements. (�) �
Oiher land (z)
Total land (line 1 plus line 2� 3 I
()
- Dwelling (4)
Residential improvements
Garage (5)
Oiher improvements (6)
Total improvements (line 4 thiougA line � (7) I
7otal value (line 3 p�s line 7� (g)
I hereby cenify ihe above is true. correci, and Signamre or Assessor oa�e signed
iplete.
__ying ac6on - Sgnamre of Audiror Date signed
19_Pay19_
Lesser of 1l2 Homestead
Valuation or 52.000
of AuCi;or -
STANDARD
S