HomeMy WebLinkAboutHomestead_Orem�,. .,,,�
�a "�'a CLAIM FOR HOMESTEAD PROPERTY TAX
=,a�;; CREDIT/STANDARD DEDUCTION
;�:.State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side lor filing instructions.
FORM
HC10
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'"^�°) V I Vi certify. ihat on ihe 7�ay o�1 ���h„y9�
upi as our principal p e of residence the.following described real property for which a Homestead Property Tau Credit is hereby Gaimed:
I(We)owned ❑ Are yingundercontracl SEP O6 1996
❑ Have a beneficial interest in the entity that is liable for the property taxes on the property and.that owns the property,qr is buying under�},contr�{
. , CONTRACT RECORDED �
It brying on contrect, Fee Simple owner's name
Recorder's oRice where contract is recorded
Record number � Page
� ' PROPERTY DESCRIPTIO � � - �
Counry . Township - Taxing distric (cit , to msAip) '
ber egal description
any portion ot Ihe residenlial SWCWre or the IarW noi exceeding one (7 � aae that immediatety surrouMs that suucture is used ro praduce income, tlescribe ihe use arM portion
of ihe property utilized to protluce income. .
Counry
OWNED BY:CLAIMANT IN OTHER COUNTIES
certify the above statements are true, correct and complete.
;numberand�(i�eLdry.stare.ZlPCOtle) � -
ASSESSOR USE ONLY
Land not exceeding t(one) acre immediately
surmunding residential improvements.
Otherland
Total land (line 1 plus line 2�
Dwelling
Residentiai improvements
Garage
Oiher improvements
Total impmvements (line 4 lhrough line �
Total value (line 3 p�s line �
I hereby certify the above is true, correct, and
cortv�te.
� . �qion - Siqnature ot Auditor
� �
/ � .
� �19_Pay19_
��nf 7/2 Homesiead
� �'�or 52.000
�
\
TRUE TAX
VALUE
(�)
(21
(3)
(4)
(5)
(6)
l�)
(8)
Signature of Assessor
S
47� 70
ASSESSED I HOMESTEAD I -NON-RESIDENTIAL
VALUE VALUE �. VALUE -
signed
signed