HomeMy WebLinkAboutHomestead_Memmer (4).4^•. CLAIM FOR HOMESTEAD PROPERTY-TAX •'
�� yq: CREDIT/STANDARD DEDUCTION
+ti��' State Form 5473 (R2/1-90) �
.°�° INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
FORM_
HC10
. v �
YEAR
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II(We) _���,�d��Q/1t1.��—certify tfiat on the.lst day of March , 19�
i (We) cupied as our principal place.of residence the fol owing described real property for which a Homestead
Property Tax Credit is hereby_claimed: , I(We) owned ❑ Are buying under contract
Have a beneficial interest in the entity that is Iiabie for the property taxes on the property and that owns the
�pppp�ty ng it under a contract. ,
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CONTRAGT�RECORDED
Ii buyir� � Fpqtr�dU�Fee Simple
PROPERTY DESCRIPTION
Township
�
(City, town, township)
arcel Nu ber �egal Description �-
� �9-t� �.s3 -oo P-E-iu w-� �y I7 -a-�o a.� �r �-
If any portion of the resideniial structure or the land not 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.
�
ED BY CLAIMANT
hereby certify the above statemenis are true. correct and
Address (Street. number. city. state
OTHER COUNTIES
ASSESSOR USE ONLY ,. TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
� � - - � VALUE
Land not exceeding 1(one) acre immediately - ' '
surrounding resideniial improvemenis (�)
Otherland (2)
Total land - line (1) plus line (2) (3)
�Residentialimprovements �� Dwelling � (4) - - - - �
Garage (5)
Oiher improvemenls (6)
Total improvemenis - line (4) through line (6) (7)
Total value - fine (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 1991 1991 Pay 1992 19 — Pay 19 —
Lesser of 1/2 Homestead Lesser of 7/2 Homestead Lesser of 1/2 Homestead Lesser of 1/2 Homestead
Valualion or $2,500 Valuation or $2.000 Valuation or �1.500 Valuation or �1,500
of Auditor