HomeMy WebLinkAboutHomestead_TooleyMEn:=• CLAIM FOR HOMESTEAD PRORER
d �p4` CREDIT/STANDARD DEDUCTION �
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' ����f State Form 5473 (R2/1-90) - � �
'°�^ INSTRUCTIONS: See reve�se side lor liling instructions.
CERTIFICATION STATEMENT
FORM
HC10
(/ -
_� I(We) ��¢�., certify that on the 1st day of March , 19�
�' `(We) occupied as our principal place of residence the foll ing described real property for which a Homestead
�operty 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
pr��r ie�wpi/�A:it under a contract.
t�""4f -Il
if buying on , iraci,
�\ +-1 �
Recorder's office whi
_ � . Township
PROPERTY
_ ,�
RECORDED
town, township)
arce_I Num� re�r4n � I Legal Description 1 I\�� _n �(Z � f^
� �CB..� -�i� !AJ .� Q' �' d.
If any portion of,the resideniial siructure or the land not exceeding one.(1) 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 OTHER COUNTIES
inty Township , Count,v �
. ,,
certify the above statemenis are��true, correciand '
Address (Sireet. number. city, state
. � .
- ASSESSOR USE ONLY ' �� TRUE TAX VALUE
L Z,
ASSESSED VALUE HOMESTEAD VALUE NON-RESIDENTIAL
VALUE
Land not exceeding 1�(one) acre immediate�y -'.
- surrounding residential improvemenis (�)
Oiherland (2)
' Total land - line (1) plus line (2) (3)
Resideniial improvements __ � . Dwelling. (4)
Garage (5)
Oiher improvements (6)
Total improvements - 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 o( Auditor Date Signed
- STANDARD DEDUCTION ALLOWANCE
1989 Pay 1990 1990 Pay 1991 1991 Pay 7 992 7 9_ Pay 19 —
sser of U2 Homestead Lesser of 1/2 Homestead Lesser of 7/2 Homestead Lesser of 1/2 Homestead
Valuation or $2,500 Valuation or $2,000 Valuation or $7,500 Valuation or $7,500
Signature of Auditor � � ��.� , � D`te