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a�/ "°. CLAIM FOR HOMESTEAD PROPERTY TAX FoRnn
;���� CREDIT/STANDARD DEDUCTION HCio
�=�� State form 5473 (R2 / 5�92) $
�eii � qp
INSTRUCTIONS: See reverse side lor liling instructions. �� tl� . . •
� " � � � CERTIFICATION STATEMENT f�1 � � �
our principal place ot residence the following described real property tor
YEAR
/
F�eJ7st day of March. 79 / 7
Tax Credit is hereby claimed:
-��I (We) owned ❑ Are buying under contract `�
.I �] Have a beneticial interest in the entity ihat is liable tor ihe property taxes on ihe property and thai owns ihe property or is buying under a conirect.
� - CONTRACTRECORDED � . -
If buying on CoMraCl. Fee Simple owner'S name . � _.
Recorder's oflice where coniract is recorded Rewrd number Page
� PROPERTY DESCRIPTION �
Counry - Township . . . Taeirg distrid (city. Iowq (own5hip) '_
Parcel number legal description
�l q-4�9t��a o G2Q� ��¢�m �_� -
If any portion ot Ihe residential stmcture or the land not ezceedmg one (7 � acre ihat immediately surrounds ihat st cture is used to produce income, descnbe the use and
of fhe property utilized to produce income.
ASSESSOR USE ONLY . TRUE�TAX ASSESSED HOMESTEAD NON-RESIDENTIAL
VALUE VALUE VALUE VALUE
Land not exceeding i(one) acre immediately
surrounding resideniial improvements. (��
O.her land (p�
1
Total land (line 7 plus line Z� (3�
Dwelling (a)
Residentiai improvemenis .
Garage (5)
Oiher improvemenis (6)
Total improvemenis (line 4 thiough lina � (7)
Total value (line 3 p�s line � (g)
I hereby certify ihe above i5 true, CorreGi, and Signanre oi Assessor Date signetl
complete.
�ng aaion - Sgnamre of Auditor Date signed