HomeMy WebLinkAboutHomestead_Mayd"r=�., CLAIM FOR HOMESTEAD PROP.ERTY_ TAX
�"--y� ; CREDIT/STANDARD DEDUCTION-
� State Form 5473 (R2/1-90) - ' •
�' '°�• �� INSTRUCTIONS: See reverse side for liling instructions.
CERTIFICATION STATEMENT
FORM YEAR �
HC10 -
�
I(We)' ���s�,,oQ /Az ,���r�s��y ��'�i=RtrS' that on the t st day of March , 1�9 �
,'We) occupied as our principal place of residence the following described real property for which a Homestead
roperty Tax�Credit is hereby claimed: �_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 it under a contract.
CONTRACT RECORDED
If buying on con[ract. Fee Simple Owner's Name "
Recorder s of(ice where
County0�, � `�
PROPERTY DESCRIPTION
_ ; Taxin,g.Djs�i t (City, town, township)
. K-
f any portion of the residential structure or ihe land not 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
CLAIMANT IN OTHER COUNTIES
County , . Township
certify the above statements are irue, correci and ' + Signature �}�/
. ... . . - - �/ /!!,C
�(Street. number, city, state and ZIPS:qde) -
r7 P.�'On,� c� j��l�� 6��,-�a �7(�
ASSESSOR USE ONLY � TRUE TAX VALUE' ASSESSED VALUE HOMESTEAD VALUE
� .
NON-RESIDENTIAL
VALUE
Land not exceeding�7 (one) acre immediately �' �
surrounding resideniial improvements �� )
Other land (2)
Total land - line (i) plus line (2) (3)
Residential improvements Dwelling (4). .
Garage (5)
Oiher improvements (6)
Total improvemenis - line (4) through line (6) (7)
u lin �ine (7) (8)
I r e is true, Signature of Assesor Date Signed
correct, and complete
Verify�q:P�tiorr5§�nature of Auditor Date Signed
" 1989 Pay 1990
, �Lesser of 1/2 Homestead
Valuation or �2,500
STANDARD DEDUCTION ALLOWANCE
1990 Pay 1991 1991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2.000 Valuation or $1,500 Valuation or $1,500
Signature Auditor /O � " I jate
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