HomeMy WebLinkAboutHomestead_Williams (2)�f s!VF4 CLAIM -FOR HOMESTEAD PROPERTY TAX - FORM YEAR
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-; CREDIT /STANDARD DEDUCTION HC10 �qqp
e State Form 5473 (R2/1 -90) -
° • INSTRUCTIONS: See reverse side for filing instructions.
CERTIFICATION STATEMENT
I (We) �Mz C certify that on the 1st day of March 19
M^Je) occupied as our principal place of residence the following described real property for which a Homestead
perty Tax Credit is hereby ci`airrled: idt 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 X JUB.Did/
If buying on contract. Fee Simple Owner's Name
Recorder's office where contract is recorded
Record Number ; -
4 el. 111
Page
PROPERTY DESCRIPTION Auullvrc -
Court Township Taxing Distr' t {City, town, township)
P rcel Number Legal De iption , ,
pia -do 3/8 a3 a
If any portion of the residential structure or the land not exceeding one (1) acre that immediately surrounds that -struc -.
lure is used to produce income describe the use and portion of the property utilized to prciduce income.
PROPERTY OWNED BY CLAIMANT IN OTHER COUNTIES
County
Township,.
County .. 7
Township
9 -reby certify the above statements are'true. correct and r - -
Signature -
., mplete.. �. - ..
G�
_ �G�
l
Address (Street. number, city. state and ZIP code)
.- '``. /lit Nee ate z,1-76 Zo
ASSESSOR USE ONLY TRUE TAX VALUE ASSESSED VALUE HOMESTEAD VALUE NON - RESIDENTIAL
. t - VALUE
Land not exceeding I (one) acre immediately
surrounding residential improvements
Otherland
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 1/2 Homestead
Valuation or $1,500
(2)
Signature of Audi or
(3)
(4)
(5)
(6)
(7)
(8)
1 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
Lesser of 112 Homestead
Valuation or $2,500
1990 Pay 1991
Lesser of 112 Homestead
Valuation or $2.000
1991 Pay 1992
Lesser of 112 Homestead
Valuation or $1,500
19— Pay 19 —
Lesser of 1/2 Homestead
Valuation or $1,500
Signature of Audi or
Date Signed
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