HomeMy WebLinkAboutHomestead_Gray (2)CLAIM FOR HOMESTEAD PROPERTY TAX
e?_p� CREDIT /STANDARD DEDUCTION
`�.� State Form 5473 (132 15-92)
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INSTRUCTIONS: See reverse side for filing instructions.
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AUG 0 7 1996
^s;.CERTIFICATIONSTATEMENT. r " -.`.:r ••:'s• ...a r. :.r - •-,-
I (We) certiy eFdrf -Me'
CC��rr�'�r.; i TV :.rinl (14
I (We) occupied a ur principal place of residence the toll ng described real property for which a Homestea Progeny Tak Cr4l IsheiJRy'f I ed:
I (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 under a contract.
CONTRACT RECORDED, :.. i:� -_
If buying on contract, Fee Simple owners name
Recorder's office where contract is recorded Record number Page
PROPERTY DESCRIPTION
County
Township
Taxing district (city, town. township)
Parcel number
Legal description
It any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that structure is used to produce income, describe the use and portion
of the property utilized to produce income.
3 - o - a/- 4!�I). W2- 06j-
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township
County
Township
' tiereby certify the above statements are true, correct and complete.
Signature of claimant
VALUE
VALUE
ress (number and street. city state, ZlP wde)
Land not exceeding 1 (one) acre immediately
TRUE TAX
ASSESSED
HOMESTEAD
NON - RESIDENTIAL;. ,-
ASSESSOR USE ONLY
-..-
VALUE
VALUE
VALUE
VALUE
Land not exceeding 1 (one) acre immediately
�m
surrounding residential improvements.
(1)
'
Otherland
(2)
"
Total land (line I plus line 2)
(3)
a
Dwelling
(4)
--
Residential improvements
Garage
(5)
Other improvements
(6)
Total improvements (line 4 through line 6)
(7)
Total value (line 3 pits line 7)
(8)
I hereby certify the above is true, correct. and
Signature of Assessor
Date signed
complete.
Verifying action - Signature of Auditor
Date signed
' STANDARD DEDUCTION ALLOWANCVr
19_Paytg_
Lesser of 1/2 Homestead
$
Valuation or $2,000
Signature of Auditor
Date si ned