HomeMy WebLinkAboutHomestead_Owens (5)I (We)
. �_
CCAIM FOR HOMESTEAD PROPERTY TAXJ _
CREDIT/STANDARD DEDUCTION
State Form 5473 (R2/1-90) �
INSTRUCTIONS: See reverse side (or liling instructions.
9
CERTIFICATION STATEMENT
certify that on the 1 st day of March , 19 ��
v � occu�ied as our principai piace of r�idence the following described real property for which a Homestead
y. Property 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 contract. Fee Simple Owner's Name
Recorder's office where coniract is
PROPERTY DESCRIPTION
Number
Record Number
town,
Page
--v � �,
If any portion of the residential structure or the land not exceeding o (1) acre ihat 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 COUNTIES
� "
ASSESSOR USE ONLY - �� TRUE TAX VALUE � ASSESSED VALUE HOMESTEAD VALUE NON•RESIDENTIAL
- VALUE
Land noi ezceeding 1(one) acre immediately �
surrounding residential improvemenis (�)
Otherland (2)
Total land - line (7) plus line (2) (3)
ResideNial improvements Dwelling (4) - -
Garage (5)
Oiher improvements (6)
Total improvements - line (4) ihrough 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
_ 1989 Pay 1990
! esser of 1/2 Homestead
Valuation or $2,500
Signature of Auditor
STANDARD DEDUCTION ALLOWANCE
7 990 Pay 1991 1997 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
Date
�a