HomeMy WebLinkAboutHomestead_Sprinkle�. ' _ _
d�.�p.a CLAIM FOR HOMESTEAD PROPERTY TAX .� FoRM veaR-
�x'� �� ' CREDIT/STANDARD DEDUCTION
:. .-. ; _ .��R.. Hcio
: State Form 5473 (R2/1-90) � SQ
�' '°�° � INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT � � � �
I(We) ' /�9 � certify that�on the 1_ 9�
I(We) occupied as our prin ipal lace of residence hefollowing described real pro i o` estead
P�-'-- = =-�
'Property Tax Credit is hereby claimed: � I(We) owned ❑ Are buying under contract
niir
� Have a beneficial interest in the entity that is liable for the p'roperty taxes on the�prope �%a�at owns the
property or is buying it under a contract._
� .. _
County
CONTRACT RECORDED
on contract. Fee Simple Owner's Name
's office where contract is recorded
Number
Qi]
PROPERTY DESCRIPTION
Taxing District
�. E C!�
town,
If any portion of ttie residential siructure 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.
PROPERTY OWNED BY CLAIMANT IN
County
I hereby certify the above statements are irue, correct'and
Address (Stregi, nu
ES
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not ezceeding t(one) acre immediately -
surrounding residential improvements (�)
Otherland (2)
Totai land - line (7) plus line (2) (3)
Resideniial improvements - 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 1991 1991 Pay 1992 7 9— Pay 19 _
-- Lesser of 1/2 Homestead Lesser of 7/2 Homestead Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,500 Valuation or $2.000 Valuation or S1,500 Valuation or 51,500
Signature of Auditor Dat� yn �O
/