HomeMy WebLinkAboutHomestead_McDaniel (7)a�� �•, CLAIM FOR HOMESTEAD PROPERTY�TAX
��="--y : CREDIT/STANDARD DEDUCTION
:� State Form 5473 (R2/1-90) � ' •
�' '°�• � INSTRUCTIONS: See �everse side for filing instructions.
CERTIFICATION STATEMENT
FORM
— HC10
�
YEAR �
�aq .
�'(We) �`"Y Y e— �Cx.�n.�.e� '' certify that on the 1 st day of March , 19 �
vVe) occupie s our principal place of residence th following described real property for which a Homestead
Property Taz 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.
. . . - . _ . i�`�`� ��
If buying on contract. Fee Simpie Ow
County ~
e where contract is recorded
Township
�egal De=
RECORDED
PROPERTY DESCRIPTION
J U 1919g0
Record Number Page
AUDROR
; town, tow�ship) ,
�oi�=oiqa�k-oo I y���P+. �E c�-a-ro - �� c�
If any portion of.the residential structure or the 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'BY CLAIMANT IN OTHER
Township Counry
• �_
x
rhereby certify the above statements are true. correci and � nature " � L� 7�
complete. ' - ' � � . V
� e� YStreqt, number, city, state and 1 code) -�
!,d/
LA,/d /DOO � • . . . . � . _ . . . �. .
ZMP ��0� � ASSESSOR USE ONLY � TRUE TAX� VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding 1(one) acre immediately' .. :
surrounding resideniial improvements (�)
Other land (2)
� Total land - line (7) plus line (2) (3)
_Residential.improvemenis. Dwelling . (4)
Garage (5)
Other improvements (6)
Total improvemenis - line (4) through line (6) (7)
Total value - line (3) plus line (7) (8)
I hereby certify the above is true, Signature of Assesor Date Signed
correct, and complete
Verifying Action - Signature of Auditor Date Signed
�STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990 1990 Pay 7991 1991 Pay 1992 19—Pay 79—
1Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,500 Valuation or $2.000 Valuation or $1,500 Valuation or $1,500
Signature of Auditor
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