HomeMy WebLinkAboutHomestead_Padgett.,,•„ CLAIM FOR HOMESTEAD - PROPERTY TAX
CREDIT /STANDARD DEDUCTION
State Form 5473 (R2/1 -90)
INSTRUCTIONS: See reverse side for filing instructions
CERTIFICATION STATEMENT
FORM YEAR
HC10 l7 /yam
A If
FILE,
APR 101991
1 (We) t _ _ certify that on the 1 st day of March , 119
I (We) occupied a our principal place of reside e the following described real prop�v fh tead
Property Tax Credit is hereby claimed: �I (We), owned ❑ Are b TiQa2_ rr 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 contract is recorded Record Number Page
PROPERTY DESCRIPTION
Taxjng District(Cjty, town, township)
Parcel Number I Legal Description l�4 D ,,,ta-A
If any portion of the residential structure or the land not exce
ture is used to produce income describe the use and portion
-,503 -
one (1) acre that immediately surrounds that struc-
property utilized to produce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County Township �_ County Township
.hereby certify the above statements are true. correct and.' Signature
complete.
Address (Street. number, city, state and ZIP code)
ASSESSOR USE ONLY - TRUE TAX VALUE ASS SSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
VALUE
Land not exceeding 1 (one) acre immediately
surrounding residential improvements
Other land
Total land - line (1) plus line (2)
Residential improvements Dwelling
Garage
Other improvements
Total improvements - line (4) through line (6)
Total value'- line (3) plus line (7)
'
(1)
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1,500
19 —Pay 19-
Lesser of 112 Homestead
Valuation or $1,500
(2)
Signature of Auditor
aj� 1 t �
(3)
(4)
(5)
(6)
(7)
(8)
I hereby certify the above is true,
correct, and complete
Signature of Assesor
Date Signed
Verifying Action - Signature of Auditor
Date Signed
STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990
esser of 112 Homestead
Valuation or $2,500
1990 Pay 1991
Lesser of 1/2 Homestead
Valuation or $2.000
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1,500
19 —Pay 19-
Lesser of 112 Homestead
Valuation or $1,500
Signature of Auditor
aj� 1 t �
Date Sign
—,
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