HomeMy WebLinkAboutHomestead_Thurston (3)a��"�°Y CLAIM FOR HOMESTEAD PROPERTY TAX FORM YEAR
a,��: CREDIT/STANDARD DEDUCTION
�,,��� State Form 5473 (R2 / 5-92)
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INSTRUCTIONS: See reverse side for,liling instructions. AiH�] �f 2 1f19C
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� CERTIFICATION STATEMENT � � �
!��W2) �u rs fio n OSS � �l.��i�- S Certify ihat On ihe 1Si c��j�w{�� �
���) occupied as our principal place of residence ihe following described real propeny for which a Homesiead Propeny Tax Credit is hereby Gaimed:
C� I(We) owned ❑ Are buying under contreci , � . �
❑ Have a beneficial inierest in ihe entity ihai is liable for the propeAy taxes on the property and ihat owns the property or is buying under a contract.
� CONTRACT RECORDED .
It Wying on comraa, Fee Simple owner's name � � �' , � � � .
Recortler's ottice where contract is recordetl � Recortl number Page
PROPERTY DESCRIPTION
Counry � Township � � Tazing�strict (ciry, fown, rownship) -� �
Parcel number Legal description
��G-oa��sa' .
If any portion of the residential strucmre or the land not eaceeding one (11 acre that immediately surmunds that 5trucNre is usetl ro produce i(xome, describe the use antl portion
ot Ne pmperry utilizetl m protluce inmme. �
- PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES �
�Counry Township Couniy Townsftip
�reby certity the above statements are true, wrrect and complete. s n ur o� i iman2 �
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Atldress (numberandstreeL ciry, srate, ZlPmde)
ASSESSOR USE ONLV TRUE TAX ASSESSED HOMESTEAD NON-RESIDENTIAL �
VALUE VALUE VALUE VALUE
Land noi exceeding 1(one) acre immediately
surrounding residential improvements. (�)
Other land . (Z)
Totai land (line 7 plus line Z� (3)
Dwelling (4) �
Residential improvements
. ' Garage (g� .
Other improvements (6)
Total improvemenis (line 4 through line bj . (7) � ,
7otal value Qine 3 pbs line 7� (g)
I hereby Certify ihe above is irue. Correct, and Signature oi Assessor Dare signed
.wmplete.
�tying aciion - Sgnamre ot Auditor Da:e signed
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DEDUCTION AILOWANCE
79_Pay19_ I
Lesser of 1/2 Homestead
Valuation or 52.000 S
1
Oate signed
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